1056 ALDER ST.PDFIIIIIIIIIIIIII
10040
1056 ALDER ST
ADDRESS: /V [ JT 1iJYi_�� t
TAX ACCOUNT/PARCEL NUMBER: �� �31001 0D
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S: v. 1z zs(f i f. J
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA'
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA'
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMITS) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
L:\TEMP\DST's\Forms\Street File Checklist.doc
APPLICATION
0
The City of Edmonds for EASEMENT NO. --------------_._--._-_._-__-._---_-
SIDE SEWER PERMIT
103-04S00 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO. --------------- ASMT. NO- ------------------
OWNNER--------- ----- Katherine---L Mahood-- -------------------- ...- CONTRACTOR---------------------------------------------------------------------------------- PERMIT NO. --------------------
JOB ADDRESS ------ 1M-.Alder--- Street ---- ------------------------------------ LEGAL DESCRIPTION: LOT NO. .------------------------------------- BLOCK NO. -.--------------.---------._-_-----.
NAMEOF ADDITION ---------------------------------------- • ---------------------------------•---•---------------------------------------
DYE TESTED ON SLIVER - February 10, 1976
By Jim Jensen
Approved:
DATE------------------•-----------•----••--•---- BY - --•------------ ---•--------------•----------
u ins
CITY OF EDMONDS
2006 B"CO IRC w/WAC ,pmn*c01ta
®2ao� d on IBC wIWAC An,�►� �;�o>�°�ss
®2005 w SAC l��n ,ts , C�R.
1
°6
®Wid pmINiC wfiQ I A , P- ROVED DAI `
[32006 m. 1FrC w/WAC A- -mts 1 :�i_'CG. 0R- IC1AL:
02006 F,"on IFC w. WAC AmO I,
❑2006 edition VIAQ WAC S 1-13( p C� � [') M L8E_ R
0200E Fdition WSF,C �IVAG S 1-] 1 %kkv
a
OPrope
.'O,� � ' •cif ��
r"
be
1® . F `° sec sew, to no • p o % o „eat
CIO
000
QV Pry
co me
--
RECEIVED
AUG 10 2009
cTR.
CITY OF EDMONDS
STREET FEE