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ADDRESS: ��z1 � /O� ��V�P , IN
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
SEWER LID FEE $: LID #:
SHORT PLAT FILE: �- UJ b — V 14 I LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR.
WATER METER TAP CARD DATED:
OTHER:
LATI:MP\DSTs\Forms\Street File Checklist.doc
►; CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
Website: www.oi.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
gol0 Planning • Building • Engineering
September 11, 2007
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Puget Sound Energy
GARY HAAKENSON
MAYOR
FIL
STREET E
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
Please be advised that the attached address has been added to the Edmonds address system:
Existing addresses of 24316 1015t Ave W has been short -platted. Lot 1 — Existing address of
24316 101s' Ave W (structure is to remain), Lot 2 — New address of 24318101s' Ave W.
Occupancy: R3
Tax ID Number: 00554900000600
Plat File/Design/Permit File: SP-2006-0141-Lot #'s Lots 1 & 2
If you have any questions regarding this letter, please contact me at 425-771-0220 or
UmbaughC@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
Respectfully,
ere a Umbaugh
Permit Coordinato
Edmonds Building Department
L\Temp\1)ST's\Master Letters\New Address9/11/2007
• Incorporated August 11, 1890 •
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CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
Website: wwwdedmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
September 11, 2007
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Puget Sound Energy
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
GARY HAAKENSON
MAYOR
Please be advised that the attached address has been added to the Edmonds address system:
Existing addresses of 24316 101s' Ave W has been short -platted. Lot 1 — Existing address of
24316 101s' Ave W (structure is to remain), Lot 2 — New address of 243181015' Ave W.
Occupancy: R3 Tax ID Number: 00554900000600
Plat File/Design/Permit File: SP-2006-0141-Lot #'s Lots 1 & 2
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Umbaugh@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
Respectfully,
4'
?Permit
e a Umbaugh
Coordinato
Edmonds Building Department
L\Temp\DST's\Master Letters\New Address9/1 1/2007
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