1422 9TH AVE N.PDF111111111111
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1422 9TH AVE N
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT
CARD No. ......
EASEMENT No - ----------
OUTSIDE ❑ INSIDE E] REPAIRS E] .........
are
------------------ ......... ----- CONTRACTOR
OWNER ------- .... PERMIT No.
c = ....... ... -----------
-7 Lti - STREET
HOUSENo. .—j --- - ------------------- ........... ------ - ------------ ......... ..... -------- ......... AVENUE LOT No. .......... ----------------------------- ...................... BLOCK No. .......................... --------------------
NAME ADD- ...... ------------------- -------
Date Approved:
BACKFILL WORK ORDER ISSUED .. -------------- ------------------ DEPOSIT, $ ---------------------------------------------
SEWER WORK ORDER ISSUED .............. ................... ....... DATE By'A&
----------
APPLICATION CARD No- --------------------------------------
for
The City of Edmonds SIDE SEWER PERMIT
OUTSIDE ❑ INSIDE ❑ REPAIRS E] EASEMENT No - ......................................
OWNER ......... ------------------- ........... CONTRACTOR ----------- r =''-' ... ............ ................................ PERMIT NZI��:_... Z
STREET
HOUSE No. ----------
z ............................ ...... ......... .... ...... ...... ....... AVENUE LOT No. .............................................. I ....................... BLOCK No. ............................. -----------------
NAMEADD--------------------------------------------------------------------------------------------------------------
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .......................................... DATE .....
.......................... By ................................................................. -