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7014 179TH ST SW
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City of E&Dlon'ds PERMIT NO: 9460
PERMIT EXPIRES 6 /1
SIDE SEWER PERMIT I
Address of Construction: —1 LED#
Property Tax Account Parcel No.
Attach copies of all access and utility easements' W1,4 Verified and Approved b Ilk-
k— � rN, \ �1_
Owner
`M00 \ G C-- 4,a?4W Building Permit
Contractor License #:
�OKSingle Family Invasion into City *Right -of Way:eEl Yes �a No
Mu.1ti-Family (No. of Units - *RW Construction Permit
E] C . ornmerdial (No. of Units Cross other "Private Property: El Yes E�_N 0
Public "Attach legal description and copy of recorded easement.
e//Contractor)�,
Owne
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\-Owner-or contractor signature and ackh6w"Iedgement statement: Date"
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.
9 CALL DIAL -A. -DIG (1-800-425-5555) BEFORE ANY EXCAVATION -92.1
9 FOR INSPECTION CALL 425-771-0220 extension 329 9
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: 1nitial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: Q01 As -built to Street File:
1�, PERMIT MUST BE POSTED ON JOB SITE 'n�
White Copy: File Green Copy: Inspector . Buff Copy: Applicant
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HOUSE
17'
GARAGE
C/o
DRIVEWAY
38'
C/o
10,
EP
179TH ST, SW
CITY OF EDMONDS SIDE
SEWER AS -BUILT
ADDRESS
7014 179TH ST, S.W.
PERMIT
NUM13ER 9460
HOMEOWNER xxxxxxxxxx
CONTRACTOR J,D, NEWTON
DATE
06/06/01
DRAWN ISMAEL ABILA -
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CAD
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