21819 93RD PL W.PDF111111111111
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21819 93RD PL W
APPLICATION CARD No.
for
The Chy of Edmon& SWE SEWER PERXlT EASEMENT No . .............. ...... . ......
OUTSIDE 0 INSIDE E3 REPAIRS 0
OWNER ........... ... 17-51; ............
HOUSE No. ....................
.001
Date
BACKFU.L WORX ORDER ISSUED ....... -- ...... - ............
SEWER WORK ORDER ISSUED - ........................... -- ....
ory ..-
....... CONTRACTOR ........ Ifz';
- ......... .......... .......... .. ....
STREET
AVENUE LOT No . ...... ....... 7 . .............. ..... ... ... BLOCK No.
NAMEADD -- ................................................................ ... ... ................ ......... ...
APProved:
DEPOSIT, $ .................. ................................ DATE....
V
PERMIT No.
PA
NOTICE:
War-rant-Y ... 0 T -a- Uk U- -1 Y.
N*o---
The -inform ation'shown on the attached
lied for use by the City Of
map(s) was com ' p
Edmonds, its Empl.oyees and Consultants.
Th,.,e City ofEdrn.onds does - n (Dt ' warrant the
these
accuracy of anything set for,th on
map(s). An . y person or entity -requesting a
copy should conduct an independent
inform . ation shown- o
inquiry regarding the
tRe -rn a p (s) . including, but not limited to
the location of any sew-er stub shown. Suc
sewer stubs may or may not e.xist and may
or may not exist at the location shown,
Neitheir the City of Edmond4s, nor its
.1 be for thE
empl-o-yee-s 0-r off rce-rs sh.a.1
information given on this map(5), nor for
any one representation provided based
upon said map(s'.