1039 ALDER ST.PDF11111111111111
10035
1039 ALDER ST
ADDRESS: �'D �9 A) AQ-V 5L
TAX ACCOUNT/PARCEL NUMBER Mq5 ` 7—QE 1 V Z] D 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA'
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): l "l I z 0
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LOT: BLOCK:
LATEMP\DS1" s\Forms\Street File Checklist.doc
APPLICATION
The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- --------------------------------------------
103-04350 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO - ------------------ -ASMT. NO. -----..-------.-.-
OWNER---------------John M. Carter ---------------------- CONTRACTOR----..-........-•-•-----.....---------------.-...--•------------•--•-----•---..----- PERMIT NO. ----•-----------•-•-
JOB ADDRESS ..--.1039--Alder-- Street---------------------------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ..... -----------------.-..-_-_---_.-
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NAMEOF ADDITION.............••--•--...---....----..........----••--•--...-•---....--•-•-------•----•--•------.........---•-•---•----..
DYE TESTED ON SEWER - February 10, 1976
By Jim Jensen
Approved:
DATE--------------------------------------•---•• By - ........................................... ------iii�a