1290 6TH PL S.PDFlillIIII 111111115476
1290 6T H P L S
The City Edmonds
j�
FILE
APPLICATION
for
CARD No . ......................................
of
SIDE SEWER PERMIT
OUTSIDE INSIDE REPAIRS
❑ ❑ ❑
EASEMENT No . ......................................
OWNER .... FR-yP..S......
V..i�-LF.�J i .I ---... ...
CONTRACTOR ....... Q.l+r...V '----..�,.
-Q-t............................ PERMIT N . / E L .
HOUSE No. 2' 90
//Tb{ r~•
sue....-AG-rL----....... .vr'---�........
STREET
AVENUE LOT No. ........ I.0..........................................
------------ BLOCK No. ...............................................
iNAME
1
ADD. .- ft- A E°.......
. ................................................ ........
La
V
N.
9
/DO.00
13�
1499.49
LO-1i
L 0-F (
La7- 4
�10
QQg�
V' 1
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. , _
SEWER WORK ORDER ISSUED ................................... DATE .-.. .f...-..�1../.. BY fi/�/•.r! �%��