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624 ELM PL
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ADDRESS: 623 ELM PLACE
TAX ACCOUNT/PARCEL #: 00736400001300
BUILDING PERMIT (NEW STRUCTURE) #: BLD19850178
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: [-] Conditional Waiver F1 Study Required F1 Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver [:] Study Required Waiver
DISCRETIONARY PERMIT #'S: PRD 1983-1, ADB 45-1981
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: Not dated.
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: P 1983-9
LOT: LOT 13
BLOCK: ELM PLACE BLK 000 D-00
SIDE SEWER AS BUILT DATED: 7111/1985
SIDE SEWER PERMIT(S) #: 07314
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: None in file as of September 18, 2008
OTHER:
POW url.
CITY- OF EDMQNDS
78
CONSTRUCTION PERMIf
APPLICAtION'
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CITY of EV60HOS
For Inspection Call 771-3202
IRECEIVED IJIDE SEWER PERMIT
'APrz 1 7 r) PERMIT NOL,073M
ndiBtl"IORKS
W�Address of Construction: CkUe-
L�, Property Legal Description (Include all easements): Loi P
AcA
1AC"c' J
W VIA EDMOND
_W,Z�KA TRUNK LINE
LU. Owner and/or Builder: M Q ICA_�
Contractor & License No: MF_ — C— VA I — D 4 LK
M
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.,Singl:e Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No 5;,< Yes (If Yes�, Right -of -Way
Construction Permit requi.red. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No (-/< Yes (If Yes, easement required,
attach legal description and county easement number.)
PLE;AS7R AD THr ITEMS LISTED ON THE BACK
7
I q e/ftllf ,/I have read and shall comply Date
with the it ms listed on the back.
Permit Fee: Issued By:
Trunk Charge: Date Issued: o'1-11 9y��S7�
Assessment Fee: Receipt No.: 56, Rs —
Partial Inspection:
Comments J
Final 'Inspection Approved: 7 --1 11 --&5
Date n i t 1 a7,"L&�
Rejected:
Reason
PERMIT MUST BE POSTED ON JOB SITE
Date Initial
—Tn i —ti a 1
Date
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
Side Sewer Drawing
The City of Edmonds EASEMENT NO - ---------------- -------------------------
NEW CONSTRUCTION CK REPAIRS [:1 LID NO - ------------------ - ASMT. NO - ------------------
OWNER ------ Ro--MF - ---------------------- ---------------- CONTRACTOR --- LU---M--S ------ �a-?QV--V-140-e ------------------------ PERMIT NO.73A.A
JOB ADDRESS ------ ...... E--L-m - ------ P - ------------ LEGAL DESCRIPTION: LOT NO. --I�a -------------------------- BLOCK Na
YlA EDMONDS WAY
---------------------------- I ........ AT ... O.F ---- E-1- M.-IRLA-C.�e TRU14K.-UNE ---
T-JAMF CIE ADDITION ------------- ----------------------------- ...................................
4c� L- A,
Approved:
ll,,bP.,Vc.0.V4,3F-
Pl- A C IE:
PWW4=1-11175 (REV.11/78)
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