611 ALDER ST.PDFADDRESS: (oil A�& 5L.
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: []Conditional Waiver E] Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): jq%6 c) I 1%(ada)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID
SHORT PLAT FILE: LOT:s s -6-+ BLOCK: <k 5
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DST's\Fomis\Street File Checklist.doc
FEB 23 198�
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APPLICATION
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The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
lOS-03700 NEW CONSTRUCTION Fj REPAIRS E] LID NO . .................. . ASMT. NO - ------------------
OWNER .............. M�T ....................... ----------------------------------------- ----------------- PERMIT NO - --------------------
Mitchell
- ---------------------------------------------------------------- CONTRACTOR.
JOB ADDRESS .... 611 Alder Street
------------------------------------------------------------ ................... LEGAL DESCRIPTION: LOT NO - ---------- ........... ............... BLOCK NO - ------------------------------------
....................................................................................... ................. ........................................................
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
DYE TESTED ON SEWER - March 23, 1976
By Jim Jensen
Approved:
DATE............................................ By --------------------------------------------------- j7j7.j&