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7008 179TH ST SW.PDFiiiiiiiiiiii 1219 7008 179TH ST SW —C . I S,)z ERMIT NO: 9466 C of Edmonds P ity PERMIT EXPIRES 1A SIDE, SEWER PERMIT Address of Construction: 7ooS 11,Ani '!S-r --;,vd LID # *2- 1& Property Tax Account Parcel No. �5/ 0� 10 ��g Attach copies of all access and utility easements..... Verified and Approved by Owner and/or Contractor: =_5 !s^t-J L. Rc> S,6,-tj _151 KG: zsw--%-Z� Contractor License #: Building Permit g Single Family. r-1 Multi -Family (No. of Units r-1 Commercial (No. of Units F� Public Invasion into City *Right -of Way: 0 Yes fi(No' �IRW Construction Permit Cross other "Private Property: Yes No x "Attach legal descriptio n and copy of recorded easement. Owne /Con tractor 2--A 61 Owner or contractor signature and acknowledgement statement,..- Date By signing for this permit I certify that I have read the City's public handout entitled Side Sewer Spebifications, and shall comply with all City requirements outlined therein. 2 CALL DIAL -A -DIG (1-80 0-425-5555) BEFORE ANY EXCAVATION 2, 12 FOR INSPECTION CALL 425-771-0220 extension,319 9 24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS as . . .. .... ...... TOR OFFICE USE ONLY.. Pe rm it Fee '07 Repair Fee $ Issued By: Trunk Charge $ A11A Date Issued: Assessment Fee $ ea Receipt No: City Permit Surcharge Fee $5.00 Total Fees Paid NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A.$45 RE -INSPECTION FEE WILL BE CHARGED. Job Site Ready,YES NO Date: Initial: Partial Inspection: Date:. Initial: Partial Inspection: Date: Initial: Initial: As -built to Street Fil��.. FINAL INSPECTION APPROVED: Date: T_� ERMIT MUST BE POSTED ON JOB SITEC� White Copy: File Green.Copy: Inspector Buff Copy:. Applicant L;temp;bld&,forms-,sspertnitjlg4/0 0 t N 71' t6 rlu 14' rlu n N, 0 4' 0 2' LLJ 5' > 0 > C En M o 0 ;o c: 0 CD Lo Z rn -4 0 "n --I I m CITY OF EDMONDS SIDE SEWER AS -BUILT ADDRESS PERMIT 7008 179TH ST, SW NUMBER 9456 HOMEOWNER xxxxxxxxxx CONTRACTOR BRAD MASON EXC, DATE 06/01/01 DRAWN ISMAEL ABILA BY 1�5)6 0 -47 k TOPS