Lot 1 Eagles Crest Street Fileiiiiiiiiiiiiii
14984
17111 72ND PL W
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y CITY 'of ED*O-NDS STREET HLESIDE 'SEW.11 :PERMIT
For Inspection Call 771-3202 PERMIT.NO: 000 4
Address of Construction: 17111 72IJ4-'�, W%T
Property Legal Description (Include all easements): L o7" �qle E
Owner and/or Builder: 129cleCAJA-1
Contractor & License No: 7-11-2
Single Family Residence
Multi -Family
(No. of
Units )
LINE
'
�,YP�NWOOD
Commercial
(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 X Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
L /
ktL;tl vtu
certify that I have read and shall comply J UN 1 3989 Date
with the items listed on .the back. .
.PUBLIC WORKS
Permit Fee: �7 �, ! Issued By:
Trunk Charge: ate Issued: Ip47/
Assessment Fee: Receipt No.: l
Partial Inspection:
Comments Date Initial
Final Inspection Approved: (0 { 5 0 IJ
Date Initial
Rejected:
eason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File
Green Copy - Inspector Buff Copy - Applicant
x
qhe City Of Edmonds Side Sewer Drawing EASEMENT NO_ ------------------ __________________________
NEW CONSTRUCTION Wr REPAIRS ❑ LID NO_ __________________ _ASMT. NO. _____-__-______-__
OWNER----------------•--------...----....---------------•-------•---------•--------.._.-----•---•---. CONTRACTOR ------ SU_ON A-K)AkJ I LO_` '_.. PERMIT NO.
7
JOB ADDRESS _�._1..�.,..` --- � LEGAL DESCRIPTION: LOT NO. BLOCK NO.
PWW-0001-11/75 (REV.11178)
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Ol�y�
-----------------------------------------=---: -------•----•-----------------------•---------------------------------
NAME OF ADDITION _________________________ `-0-S_____ Qj �-��
-- ----------
:I a PC- .
EYNIN=WOODUN-E
Approved:
DATE . — 9-1 ------------ B - = ---- �- --