610 DAYTON ST.PDFIIIIIIIIIIIIII
10829
610 DAYTON ST
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: F] Conditional Waiver E] Study Required E] Waiver
r-- 0 q
DISCRETIONARY PERMIT #'S: Cu. Z-0
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT:2,.3,94 BLOCK: q(0
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DS'rs\Fomis\Strect File Checklist.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E]
/OS - 0 F-?-00
OWNER CONTRACTOR ................................................................................................... PERMIT No. ..................
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ADDRESS ... 6-10 ...... ----------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ................................. ..........
NAMEOF ADDITION .........................................................................................................................................
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