7101 181ST PL SW.PDF7101 181ST PL SW
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).
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City of Edmonds PERMIT NO: '1311
SIDE SEWER PERMIT PERMIT EXPIRES4 b /��
Address of Construction: I In / (L g) LID it C 5? �-
Property Tax Account Parcel No. 5® — ®ew 7
Attach copies of all access and utility easements Verified and Approved by
Owner and/or Contractor: Al & ,-0 J, 5 rp- % 4A14 4V4djV 3 r1AV4 '
Contractor License #: Lutes--1
[�_Single Family
❑ Multi -Family (No. of Units
❑ Commercial (No. of Units )
❑ Public
ding Permit #:
Invasion into City *Right -of Way: ❑ Yes +gXo
*RW Construction Permit #
Cross other **Private Property: ❑ Yes �� 49-wo
**Attach legal description and copy of recorded easement.
Own r1 ontractor �-(�---�
O ner or contractor signature and ac owledgement statement: Date
,: m By signing for this permit I certify tha I have read the City's public handout entitled
r,ide Sewer Specifications, and shall comply with all City requirements outlined therein.
W CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY:EXCAVATION W
R FOR INSPECTION CALL 425-771-0220 extensions W
24 HOUR NOTICE REQUIRED 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:
Partial Inspection: ~ _ Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: lnitial: p As -built to Street File:
tPERMIT MUST BE POSTED ON JOB SITE t�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
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CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS 7101 181ST ST, S,W,
PERMIT
NUMBER 9381
HOMEOWNER X X X X X X X X X X
CONTRACTOR AAA
STAR
DATE 04/18/01
BRAWN
ISMAEL ABILA