21223 95TH AVE W.PDF\ 111111111111
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21223 95TH AVE W
APPLICATION
'T T for
The City of Edmonds ZJ -4 v f-z $
E, E SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS E] EASEMENT No . ..........................................
111-06400
OWNER ..... .... Eldridqe Creiqliton
................ — .............. . .................... ....... ............................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ...... Zj22.3 ... ..... ......................................... I ..... LEGAL DESCRIPTION: LOT No . ............................. ................ BLOC
K No . ............................
NAME OF ADDITION ........
Dye Tested On Sev-ier 1972
Approved:
DATE........ ....................................... By ................. ............. ......................................
. 0 STREET FILE
CITY of EDMONDS
200 Dayton Street - Edmonds, \/Vashkigton 98020 - Telephone (206) 775-2525
Department of Public Works
DATE:— June 2, 1978 .
TO: C.N.A.. Insurance
808 Park Place Building
Sixth and University
Seat tle, Washington 98101
TRANSMITTING: Information regarding sewer stoppage at
21223 95th Place, re: Claim #57-202972BB.
AS YOU REQUESTED: X FOR YOUR FILE:
FOR YOUR INFO: REVIEW & COMMENT:
AS IVE DISCUSSED: COMMENT & RETURN:
FOR YOUR APPROVAL: FOR APPROPRIATE ACTION:
REMARKS:
PUBLIC 1VQRKS DEPARTMENT
BY:�
Lelf R.1 Larson, P.E.
Dir-p-�--af Public Works
jac
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