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1055 BELL ST.PDF1055 BELL ST ADDRESS:_�.�� TAX ACCOUNT/PARCEL NUMBER: LH OZ 1p 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 PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DA' SIDE SEWER PERMITS) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LATEMMI)ST'sTorms\Street File Checklist.doc APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 118-01700 OWNER..-.-....-Uilli-am.-T.ruesdel-I------------------------------------------------------ CONTRACTOR....--..........................----.........................................-----•............... PERMIT No....................... ADDRESS ......1955.. B-el]...$t- ----------------------------------------------------------------- LEGAL DESCRIPTION: LOT No............................................... BLOCK No.................. ............................................ • • rj NAMEOF ADDITION..-•----•--•.............................................................................•--............................................. L° fi fUi_�4 Dye Tested On Sewer 1972 Approved: DATE................................................ By.....................---..............................................