621 DALEY ST.PDFiiiiii iiiiiiii
10747
621 DALEY ST
-0 &
TAX ACCOUNT/PARCEL NUMBER:.- () 64?2 q 7.J 0 7-0 -33 Q 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): t9
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: .�AO -'\�kte,
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
DETERMINATION: Ej Conditional Waiver E] Study Required R Waiver
LID #:
LOT: BLOCK: 102,
LATEMP\DSTs\Fomis\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SIEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS EASEMENT No . ..........................................
114-o6700
OWNER ........... ........ T�.� .... Berg ...................................................................
.......... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ 6.2.1 ... lla,)&�Y .... S.t ............................................................. LEGAL DESCRIPTION: LOT No . .............................................. BL0CK No . ............................................
0
0
40
0
NAMEOF ADDITION .........................................................................................................................................
A- 4�
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
6 All
17
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LOT ARIA' 7,200 �F
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GAPAGE
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ALLEY —
STREET FILE!
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PROnCT: GARAQF_ AM'�