21701 88TH AVE W.PDF111111111111
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21701 88TH AVE W
APPLICATION
STREET FILE for
The City of Edmonds SEDE SEWER PERAUT
OUTSIDE [:] INSIDE 0 REPAIRS
42�' -,tLJ 0 k 9
V
OWNER............... 0) ................................................ ..............
--4-..o ..........................................
HOUSE No. ......... /.6�
o2174 — 468,,H 441'r.
0
BACKFILL WORK ORDER ISSUED -
SEWER WORK ORDER ISSUED .........
........ CONTRACTOR ..................
STREET
-------- AVENUE LOT 'No . .........
NAME ADD . ......................
Date
........................ DEPOSIT, $ ........................
CARDNo . ......................................
EASEMENT No . ......................................
................................................................... PERMIT No.
.............................................. 13LOCK No . ........................
.................................................................................................
Approved:
DATE
By..........................................................
NOTICE:
N*o---w-a r-r a rn - y ... or -a
The information on the attached
for use by the CitY Of
map(s) was compiled Consultants.
Edmonds/ its Employees and arrant the
Th,.e City of 'Edmonds does. not.W
t these
accuracy of anything set for. h on
Map(s�. An . y person or entity *requesting a
c)py should conduct an independent
inform-ation shown- on
inquiry regarding the
tfie -map(s),, including, but not limited to,
the lociation of any sewer stub shown. Suc
sewer stubs may or may, note.Xist and may
or may not exist at the location shown
Neither the City of Edmonds nor its
ernpjo-yee-s Or offi-ce-rs -s-hal-1 be 1--ia-b-l-e for the
information given* on this map(s), nor for
any one representation provided based
upon said. map(s).