631 BIRCH ST.PDF11111111111111
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631 BIRCH ST
ADDRESS: �oz
TAX ACCOUNT/PARCEL NUMBER: nt)5n9 nbopcae�bc)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREASL/
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED.
SCALED PLOT PLAN DATED:
DETERMINATION: F] Conditional Waiver Ej Study Required F] Waiver
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:— Ljj,(, 0
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
LATEMPOS'PsTomis\Street File Checklist.doe
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The City of Edmonds
APPLICATION
for
SEDE SEWER PERNaT
OUTSIDE A INSIDE [-] REPAIRS
CARD No. —
EASEMENT No. ..
0
-
OWNER ........... 0 ................... . . .......................... CONTRACTOR ..... .......... ............ PERMIT
HOUSE No . .......... k' - STREET
................................. . ........ w -------------- * ------------------ ' AVENUE LOT No - ---------------------------------------------------------------------- BLOCK No . ............
NAME ADD. ............. 6 . . ...................................
Uf
ctj
IA
me
APPROVED
JUL 29 1966
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .......................................... DATE q--.5 ................. ..... By -----
------------ 7 ------------
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0 ov�ners ��qLLOVVING Z Oldhu,�c-es":
f
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e'Wer. rau,t ha
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16:030 a4dzj� sew � n
A
in - grade st 1 3 ..ed
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NOTZ No 4—Tre en r than g4lations, Side
fan;�,eds�'!? -iree will a
e. to traj t liro�rty,line.s, Sid( ��"Cto` ulust
%helc�es co'v governing It has been
Za�ge'
t 'n ! sewers when
pro er, gt- et.' Per"ntt ill . .
Whi Ped and uji 12 -inches I YOU get PeMij.
unlawful td I ace inside
urt� ter 0 .,,.y -d'elop Of�str6et
to do az�y. th Within. u6 Prolierty line -
enan,ceS excelyls' er wo Y�a7stOred I ZZLIWE"zin
the PlPe into t�! tbsn Is r of Cozzi 0 OrIglual e grade 0; 2%.
e Wye. rol"Ided for -in th - Pletion: -Onditlou. Contract
ors
e _rmIt, ShW.'b6
or to do responsible for
any work 01, the
Inaln sewer, or
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