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7013 180TH ST SW.PDFiiiiiiiiiiii 1261 7013 180TH ST SW 411C. I S9� PERMIT. NO: 93,96 City of Edmonds: PERMIT EXPIRES-. 6 1 - SIDE SEWER PERMIT Address of Construction: :2 0 L3 - LED # �2- I G Property Tax Account Parcel No. 151 ?21 wo, o Attach copies of all access. and utility easements Verified and Approved by A - I Im .4 Owner and/or Contractor: '71 OUA- a, Contractor License A- L� Do C, n* 1) 3: 1�) ':Z Building Permit ,;LSingle Family Invasion into City *Right- I of Way: El Yes 9XV0 r_1 Multi -Family (No. of Units *RW Construction Permit F-1 Commercial (No. of Units F-1 Public Cross other,* *Private Property: El Yes &L.Xo. "Attach legal description and.copy of recorded easement. Owner or contractor signature and ackn4wledgement statement: By signing for this permit I certify that I have read the City's public handout entitled : 4r A L 11 1 . U I I fl: +11. A +1, Date jWide Sewer Spec caL ons, an s a 4,0111p Y W L a Ly lj�;;4U I IF,111W,711ta VU "L� 1�1 �, I I. CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 2 W !FOR INSPECTION CALL 425-771-0220 extension'11W-W I 24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS 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: Pariial Inspection: -Date: Initial: Partial Inspection: -Date: Initial: FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: _f -W t� PERMIT MUST BE POSTED'ON JOB SITE* t� White Copy: File Green Copy: Inspector Buff Copy:, Applicant, L;temp;bldg;forms;sspertnitjlg4/00 t N BEND 91 CO 4' DEEP 10, BEND 32' CO 6' DEEP 26' SWR MAIN 180TH ST, CITY OF. EDMONDS SIDE SEWER AS -BUILT ADDRESS 7013 180TH PERMIT NUMBER 9396 HOMEOWNER STEVE MULVIHILL CONTRACTOR WALDORF CONST, DATE 06/01/01 DRAWN ISMAEL ABILA BY 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). '70 gug NI ;AJ t-----REC-E-PVE-D ENGINEERING -DIVISION---