1110 DALEY PL.PDF11111111111111
10704
1110 DALEY PL
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: ona-imurnmno
BUILDING PERMIT (NEW
COVENANTS (RECORDEE
On
CRITICAL AREAS IA- DETERMINATION
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: -1 / ( 0 1 ci -?,
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: oc
Conditional Waiver 0 Study Required [-] Waiver
SEWER LID FEE $: LID #: !7-17
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: -
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: Ci U
4?.e 4W 6 pi viflo-1411H11- 51r- z�x (o1qo1rk&PZ4W6 A4' cW17-
LATEMP\DS'rs\Fonns\Street File Checklist.doe
FA
District
City of Edmonds --_!.�-.Water Department
TAP CARD
Reading: Date
No.
Meter Tap Size
Size
Mfgrs. No.. sty 1,5
Purchaser: —,A e). mul-u Le, ut 4 L,&",i
Serv. Add. I t P t� 0AW L
Lot No. Blk. No.
Add.
Residential:
Other:
Meter Location
-r /14"7-e14 :a,�07 71,-,-)0.
Service Material:
Pressure—lbs.- Test
D�tq of Z10 —
�--Foreman
du a'r. Vouchery N $
5 k
Proj. No: III 337,�. L
Remarks:
OUTGOING
Card —
indcx—Reg.—Routc
Bk.—
Stencil—
INCOMING
Inclex—Rcg—
Route
Bk.,
Stencil
—Card