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6918 161 ST PL SW
ADDRESS: AL 45,�u
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
DETERMINATION: []Conditional Waiver E] Study Required F] Waiver
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:—
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER
LATEMP\DS7rs\Forms\Street File Checklist.doc
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CITY OF EDMONDS LAURA M. HALL
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning * Parks and Recreation 9 Engineering
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KEET FILE
Date:
Project No.:
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Transmitting:
AS YOU REQUESTED FOR YOUR.FILE
FOR YOUR INFORMATION FOR POSTI-NG IN PUBLIC PLACE
AS WE DISCUSSED FOR SIGNATURE AND RETURN
FOR APPROPRIATE ACTION
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Sister Cities International — Hekinan, Japan