21407 92ND AVE W.PDFiiiiiiiiiiii
8902
21407.92ND AVE W
NOTICE:
'ar-ranty
-N'o ... w the attached
The -information shown on
Map(s) was compiled for use by the City of
Edmonds, its Empl.oyees and Consultants.
Th,..e City ofEdm.onds does. not. warrant the
accuracy of anything set for.th on these
Map(s). An . y person or entity -requesting a
copy should conduct an independent
Inquiry regarding the info*rmation shown or
_t Fe -M a P (S)Jj including, but not hrn'ted to,
th . e location of any sewer stub shown. Suc
ewer stubs may or may- not e.xist and may
or may not exist at the location shown.
r-'t y o f E d m On r.'Jss, n o r i t S
Neither the %,-, I h
I yee-s o-r off i*ce*rs -sha`rl be 11a
empro
this map(s), nor for
information g ven on
any one representation provided based
upon said map(s).
APPLICATION
for
Vn.,City of Edmonds TREET FILE S11DE SEWER PERKff
S OUTSIDE 0 INSIDE 0 REPAIRS 0
OWNER ....................................................
.. ..... .................. CONTRACTOR
CARD No. ... ...... ...... . ....
EASEMENT No . ..................
PERMIT No
........... I ... ............... — ...... .................... ............................... . ..........
STREET
HOUSENo . ............. ( ..................... AVENUE L T No . ................................................................... ...... - IlLOCK No. ...................... --- ...........
BACKFILL WORIK ORD
SEWER WORK ORDEI
APPLICATION
4; for
Tli'e'Citly of Edmonds
SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION [-] REPAIRS
110-07600
OWNER............. Eugene ... ................................................ CONTRACTOR .................................................................................................. PERMIT No....
ADDRESS .......... 2.1.40.7 ... . ... 9-2-n. d .... A-ve-.--ll .............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . .......................................... .
.. . ..... .. .. .... .
NAME OF ADDITION
0
A
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................