1445 8TH PL S.PDFIIIIIIIIIIII
8738
1445 8TH PL S
0
The City of Edmonds
APPLI&ION CARD No. ........... .. !� .............
for
SIDE SEWER PERMIT
OUTSIDE it INSIDE ❑ REPAIRS ❑ EASEMENT No . ....................................
�{ I Y� ! ! ' I , r rt ,.
OWNER ..................I►d...........—.G.....C�(!!^.i.4........................................................... CONTRACTOR .. 14 ...1 :: L?.................................................................... PERMIT No......f .G�. .......
STREET
HOUSENo. .. ..... ... ........11 ..L.... i.......................................... AVENUE LOT No. ....................................................................... BLOCK No...........................................................
NAMEADD ..... .S e..4x............ C-5-1...............................................................................................................
70 e
i
•
-r
) O C.
Date
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $........ J1 .� .
SEWER WORK ORDER ISSUED ................................................ f . c' ; .
2!�1.
r�N,CN�S, Yet"`rt:<
,AM 4 — 190
Approved:
DATE ..... -yvt......'