21608 81ST AVE W.PDF11111111 lill
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21608 81 ST AVE W
The -.City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION E) REPAIRS EASEMENT No . ..........................................
L / ID
OMWER, .... MA"'ZI ....... ul) ........... VA�- ................ ............................. CONTRACTOR ... &P <PD—Ir czps
............................ ------------------- T .......................... ........ PERMIT No. Aclo
.................
ADDRESS ... Q� ......... ........................ LEGAL DESCRIPTION: LOT No . .................................. ....... ... BLOCK No . ...................... . ...... .
.... ....... ...... ...........
.... ..........
NAME OF ADDITION ...... :j��...
./— .................................................................... ............ w
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Approved:
RECEIVED
APR 2 9 1974
DATE................................................ By ..........................
I -
APPLICATION
ZSTREET FILE for
The City of Edmonds SIDE SEWER PERMIT
BASEMENT No... ........ ...............................
NEW CONSTRUCTION REPAIRS
ER ..: -_----------------
. . ............................ ........... ......................... ONTRACTOR ................... .................. ........... PERMIT No . ......................
ADDRESS. ...................... .................... .................. ....... ........................... : ........... LEGAL- -DESCRIPTION:- LOT No . ............... ................. BLOCK -
NAME OF ADDITION ............... PT� ..........................
f -
Approved:
DATE_5�0:3 ...... x�/ ............ By ............................................. ...........
j
NOTICE:
--N-o -wa rra nty--of- a-ccu racy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
accuracy of anything set for.th on these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information sho.wn on
tf�e -map(s), including, but not limited to,
th . e locat-lon of any sewer stub shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-o-yee-s o-r offiCerS Sh-a-1.1 be Via-b-j`e for +Lhe
information given on this map(s), nor for
any one representation provided based
upon said map(s).