21403 92ND AVE W.PDFiiiiiiiiiiii
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21403 92ND AVE W
I
NOTICE,
W Ur. —ac-. c-u-
N'o--- `ar-ranty... ed
The information shown on the attach
piled for use by the City Of
Map(s) was cOm. I
Edmonds, its Empl-oyees and Consultants.
Th,..e City of "Edim.onds does. not. warrant the
accuracy of anything set for.th on these
m a p ('s'). A n . y person or entity a
copy should conduct an independent
orm . ation shown or
Inquiry regarding the inf*
I
tF�e -M a P (S) / including, but not i'mited to,
c ion of any sewer stub shown. Sud
the lo' at'
sewer stubs may or may* not e.xist and may
or may not exist at the location shown.
Neit-heir tihe --ity of EdmoinIcis nor its
em pl-o-yee-s o-r off rce,rs -sh-a-1-1 be l-`1 a-b-Ife for the
n on this map(5), nor for
information give'
any one representation provided based
upon'said map(5').
APPLICATION CARD No . ..................... .... . .. .....
for
The,,Cit"f Edmonds STREET FILE SIDE SEWER PERMrr EASEMENT No . ......................... ...... ...........
OUTSIDE 0 INSIDE 0 REPAIRS 0
2 2L
OWNER ................... ................................................ CONTRACTOR
. . . . . . ....... . .......
STREETA . - . :- -- ............................... .... ...................... ................ PERMIT No.
HOUSE No . ...... UE LOT No . .................................................... ......................... BLOCK No. .. ..........................................................
.................................................... .) .......................................... AVEN
4103 W 04"',Va . 4f *NAME ADD ............................................................................ - ...................................................................................................
0
JVI,-]
BACKFILL WORI
SEWER WORK (
ow, - - - r
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION E) REPAIRS E] EASEMENT No . ..........................................
zz-/) - 6: 2 110-07700
OWNER ............. Albert Ii. Fein
.............................................................................................. CONTRACTOR .............. ................................................................................... PERMIT No.
ADDRESS ......... 2.1-403 --- �n ... 92nd-kvn....Ij� ............................................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
jo
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................