6815 180TH ST SW.PDF111111111111
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6815 180TH ST SW
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PERMIT NO: 9340-
'City of Edmonds'.
PERMIT EXPIR1S. 1 /0
SIDE SEWER PERMIT
Address of Construction: S-k I LUD it
Property Tax Account Parcel No. Es ept-x-)
Attach copies of all access and utility easements Verified and Approved b
Owner and/o' Contracior Nit" �4 <:x 4-Q;, 1
Contractor License#:., CA At, A",. X� X r Building Permit #:2on
Cpingle Family
Multi -Family (No. of Units
Fj Commercial (No. of Units
R Public
Invasion into City *Right -of Way: Yes 0
*RW Construction Permit
Cross other "Private Property: El Yes WN0
"Attach legal description and copy of recorded easement.
Awn'r or contractor Datd
By signing for this permit I certify that I have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein..
2 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 9'
FOR INSPECTION CALL 425-771-0220 extension-�32-'9�.,..",",�".,
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS
....... .. ....
. .. ..... FOR OFFICE USE ONLY ......
PermItFee$ -Repair Fee $ Issued By: A ncA _�RA C:� C'�,
Trunk Charge $ Date Issued:
Assessment Fee $ Receipt No:
City Permit Surcharge Fee $5.,00 Total Fees Paid $ S
NOTE: IF JOB SITE IS NOT READY: FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date:, Initial: —
Partial InspecUon: Date:. Initial:
Partial InspecUon: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File:
A Bw
t�.'.PERMIT MUST BEIPOSTEQ,O.N JOB SITEt-
White Copy: File. Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms-,sspermitjlg4/00
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HOUSE
-91
21
C/o
51
Ld
45*
4' AVERAGE DEPTH
17.5'
16l
180TH ST,
SW
CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
6815 180TH ST, SW
PERMIT
NUM13ER 9340
HOMEOWNER
CONTRACTOR JAMES NEWTON
DATE
04/05/01
DRAWN
BY
ISMAEL ABILA
41
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NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).