7121 LAKE BALLINGER WAY.PDF1111111111111111818
7121 LAKE
BALLINGER WAY
DAL:
CITY
of EDMONDS
For Inspection Call 771-3202
KE!EI
=D
SIDE SEWER
PERMIT
OCT 1'7
1985
MIT NO.
aPUBLIC WORKS
Address of Construction: ��KC _6AL( IN(,( R WP,
Property Legal Description (Include all easements): pig(
VIA BAL
Owner and/or Builder: WORLD (AJii'_�t VAQVefL - �---
Contractor & License No: Au\zo(zx CtV\(y1k\-1eq.TZk N G SNc. NuR.oRE a90Cg.C/
Single Family Residence
Multi -Family (No. of Units )
Commercial _y (No. of fixture.Units )
Invasion into City Right -of -Way: No )( Yes .(If Yes, Right -of -Way
Construction Permit required. Call One- Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have rezfd and shall comply J
with the items listed on the back.
Permit Fee: -39•00
Trunk Charge: 25; OCR
Assessment Fee:
Partial Inspection:
Issued By:
Date Issued:
Receipt No.. Y4'2
Comments
Final Inspection Approved: la- ,�
Date Initial
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector
/O - / -7
Date
Date Initial
Date Initial
Buff Copy - Applicant y
40 i/
Side Sewer Drawing
7
The City of Edmonds
11
EASEMENT NO. -------------------- --------------
NEW CONSTRUCTION Dg REPAIRS ❑ LID NO. 101B ----- - ASMT. NO. - ----------------
OWNER -\A/0PkZ .... 4
7 - --------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. 74-03-
JOB ADDRESS -772.1 .......... U<--RPkLu*4C-kK-\Akk%J LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK N
VtA NGER
---------------------------------------------------------------------------------------------------------------- --------- ----
TLIFT 9E-
- NOWT4A — —,Aelj
11/75 (REV.11/78)
\, -3,cm!
2110 memo
r.q. G.
NAME OF ADDITION — ----------------------
2-44-riA SM
r772,1
r4.S'-s
CAP x ZI AV
A
0
Approved:
DATECLtA; �c-A.:Y'A9 -Y,-40
- ---- --- -- -- ---------
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
OWNER ...... 1N.a..11.5 o1�Y1 r---.pN G.�S.....F.......-.--.`..,-.r---------------------. CONTRACTOR................................................................................................. PERMIT No.......................
ADDRESS ... ...z.I...... LQ.KI......1.1Q�LlL1�Q.C�... way .............. LEGAL DESCRIPTION: LOT No..................... ...............:. BLOCK No.............................................
NAMEOF ADDITION.........................................................................................................................................
,)U.r)a. , Ic1l2
-- flya. ia.sl-a.d On 5a-war
Approved:
DATE................................................ By.................................................................