18710 76TH AVE W11111111111111
15093
18710 76TH AVE W
CITY of E D M 0 NIBSIfIVEDI
a S I D E
For Inspection I Call 77,%ilfiol 119F,�
ET
PUBLIC JR tTRE
Address -of Constr'uction:- / . 0 . 1 '76 &AP-e-
SEWER P.ERMIT
PERMIT NO. B7679
Property Legal'Description (Include all easements): L <Z_
Owner and/or Builder:' C0 A-1 3 -r.
Contractor & License No:
Single Family Residence
Multi -Family ('No.' of Units
Commercial (No. of fixture Units�
MWOOD LIN�
Invasion into City Right -of -Way: No )C Yes (If Yes, Right -of -Way
Permit required. Call- 'One- Call -Center' (1 -800-424- 5555) before any
excavation.)
Cross other Private Property: No Yet X (if Yes, easement required,
attach legal description and county easement,number.)
PLE E READ THE ITEMS LISTED ON THE BACK
I'certify that I have read and shall comply Da'fe
With the items listed on the back.
Permit IFee- '20
issued By:
Trunk Charge:
0 0
Date Issu'ed. -11f A,
Assessment Fee:
Receipt No.: e 0
Partial Inspection:
Comments, Date. Initial
Final- Inspection Approved:
T"D a �te
In i t i a 1
00
Rejected:
CD
Reason
Date _Tn i -ti a 1
Ln
PERMIT MUST BE POSTED ON JOB SITE
Or-
WhAte Copy File
Green Copy
Inspector Buff Copy Applicant
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS Fj LID NO . .................. . ASMT. NO . ..................
0 'R 'CONTRACTOR
WNER ..... C.0.1--EMA�,.N .... cotAs-T,.... -AVRK .............................................. PERMIT NO. 7
0. 1,LY-NNW.00
JOB ADDRESS .4nKTA ----- 740 ........... A,-4 F- - \,N/. LEGAL DESCRIPTION: LOT NO. 3 .................................. BLOCK N 1
------------------------------ --------
.............................................................................................................................................
NAMEOF ADDITION ........ .......................... ..............................................................
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SEWER
PWW 0001 -11/75 (RMM7M�
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Approved: -
DATEB y 4. �. ........ ... ....... .....................