21414 89TH AVE W.PDF111111 lill 11
8573
21414 89TH AVE W
APPLICATION CARD No . ......................................
for
The City of EdmonVREET FILE SIDE SEWER PERAHT EASEMENT No . ......................................
OUTSIDE 1:1 INSIDE E) REPAIRS E]
OWNER ............. ......... :37 �E4 ................................................... CONTRAC-rOR ......... ........ V ....... 7-��x-z ................. PERMIT No. -----------
STREET
UE 140T No . ...................................................................... BLOCK No . ...............................................
HOUSE No - ---------- 41 ... AVEN
. . ....... ..... Z,
. ...........
E
BACKPILL WORK ORDER ISSUED
NAME ADD . ............... 1��ILeze') .... —'b-zlF ----------------------------------------------------
Date Approved:
DEPOSIT, $ .............................
SEWER WORK ORDER ISSUED .......
DATE .................
By...................................................................
APPLICATION CARD No . ......................................
for
The City of Edmonds SEDE SEWER PERMT
OUTSIDE E] INSIDE E] REPAIRS 0 EASEMENT No . ......................................
OWNER ........... ------------ 0.;X,�e5
........................................................ CONTRACTOR ------- J� ...... .................. PERMIT No.
--- ---------
HOUSE No—(.xz.;�-/ - - ------------- -------- SIZ.71-1) SATVREET
ENUELOT No . ...................................................................... BLOCK No. ... ................... 0
NAMEADD . .............. .......... ......................................................................................
11
Date
BACKFILL WORK ORDER ISSUED ......
SEWER WORK ORDER ISSUED .............
DEPOSIT, $..
Approved:
...................
DATEG ................................................ By
NOTICE:
w. a r.r a
N*o--- ' n. - y...
The -information on the attached
map(s) was compiled for use by the CitY Of
Edmonds/ its Employees and Consultan.ts.
Th,..e City of *Edrn.onds does. not. wa rra nt the
accuracy of anything set for.th on t. - hese
Map(�). An . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform . ation shown, on
-map(S)i including, but not limited to,
th . e lociation of any sewer stub shown. SUC
sewer stubs may or may- not e.xist. and may
or may not exist at the location shown@
r'ity of Edmo*nds nor its
Neither the %I--.
empl-o-yee-s 0-r office-rs -shal] be lJa-b4.e for the
information given on this map(5), nor for
e representation provided based
any on
upon'said map(s),