7013 179TH ST SW.PDFiiiiiiiiiiii
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7013 179TH ST SW
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Ay -e
'�e G"Illy of PERMIT NO:. 94,69
ds-
Edmon
PERMIT EXPIRES., A
4 C. 1 sw� SIDE SEWER PERMIT
Address of Construction: LID# e4l
Property Tax Account Parcel No.
Attach copies of all access and utility easements AN Verified -and Approved b -1 -------
Owner and/oiCo'ntrac�Q�-C,
Contractor License#: .1at-Building Permit #: 141
Cp��-ngle Family Invas'ion into City *111ght-of Way: F1 Yes '/'9tyo
F-1 Multi -Family (No. of Units.-,') *RW'Construction Permit #
E] Commercial (No. of Units Cross other "Private Property: Ej Yes, 0
R Public **Atfac� legal description and copy.of recorded easement.
Owner tont A�act Ir
er,or contractor signature a6-k"*now�edgement-.qLatement:' D �t_e
-0-
By signing for this permit I certify that 1,have read the -City&" �'Public handout entitled
11 comply with all Ciiy requi�em rein.
ide Sewer Specifications, and sha �nts outlined the
9 CALL DIAL -A -DIG (1-800-425-5555) BEFOREANY EXCAVATION. W.
V FOR INSPECTION CALL 425-771-0220 ext'ension:'329 ea
.24 HOUR NOTICE REOUIRED -FOR ALL INSPECTION REOUESTS,
FOR OFFICE USE ONLY
Permit Fee Repair Fee $ Issued By:
Trunk Charge $ )Y1,4 Date Issued:
Assessment Fee Receipt No:
City Permit Surcharge Fee $5.00 Total Fees Paid
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 Inspection: —Date: Initial*
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial:,Da' As -built to Streetfile: _j
t�'PERMIT MUST BE, POSTED ON JOB SITEI,�
White Copy: File Green Copy: Inspector -,Buff Copy: Applicant.
L;temp;bldg;.forms;sspennitjlg4/00
DRIVEWAY
C/o
C/o 81
> 15'
2'
179TH ST, SW
CITY OF EDMONDS SIDE SEWER AS
-BUILT
ADDRESS
7013 179TH ST,
SW
PERMIT
NUMBER 9459
HOMEOWNER xxxxxxxxxx
CONTRACTOR JD
NEWTON
DATE 06/01/01
DRAWN ISMAEL ABILA
13Y
CA 0
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