21403 95TH AVE W.PDFiiiii-iiiiiii
9272
21403 95TH AVE W
NOTICE:*
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The information shown on the attached
MaP(S) was coM * piled for use by the OtY 01
Edmonds/ its Empl.oyees and Consultants.
Th,.e City of`Edm.onds does * n ot. wa rra nt the
orth on these
accuracy of anything set f
M a p (s). A n . y person or entity -requesting a
copy should conduct an independent
orm'ation shown-c
inquiry regarding the infi
t F�� m a p (s), including, but not Jimited to/
n of any sew-er stub shown. Su(
the lociatio
not exist and ma�.
sewer stubs may or may
or may not exist at the location shown
Nei -their tihe City of Erdmon'dAs, nor it s
emp'-o-yee-s 0-r Office-rs shal.l be !Jabl.e
information given on ffs map(5), nor for
3ny one representation provided based
upon said map(s'
APPLICATION
for
The City of Edmonds SME SEWER PERMIT
NEW CONSTRUCTION [] REPAIRS 0 EASEMENT No . ..........................................
111-06900
OWNER .......... Jac6, R. Hiqhlander
.......................... — ----------------------------------------------------------------------- CONTRACTOR ....................................................................................... .......... PERMIT No . ......................
ADDRESS ..... 21.403 - 95tli..Ave. 1-1.
........................... ..................................................................
0
0
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION .......................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ...............
Scanned
Jb I is
FT- �t
m
FORBES RESIDENCE
qVH
.21403 "E WEST
EDMONDS,WA
(one Corner Flag
e t
tbac�k/s Required Actual
Front
Sides lvl; 7-S- --57
Rear C-- /S- -F
Other
7
rn
AP190 E I By PLANNIN�
RECEIVED
��rx Luie -f Or
SEP 1 � 2015
DEVELOPMENT SERVICES
COUNTER
W&O