22508 72ND PL W.PDFlill 11111111
5729
22508 72ND PL W
APPLICATION
The City of Edmonds 8c'7h`l'EE7-.T ME for P
SEDE SEWER ;"afREPAIRS
OUTSIDE INSIDE
CARD No . ..........
EASEMENT No . .................................
V'74n
'L / D / c.cl
OWNER ........... %� ......
..........................................
CONTRACTOR ......... -------------------------------------------
PERMIT No.
HOUSE No . ...... ��.ZS�401
................. .............
STREET
AVENUE LOT No . ............ — .......................................................
BLOCK No . ...............................................
NA24E ADD . ...................................................... ......
Z,
Date
BACKFILL WORK ORDER ISSUED ....... ........................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ..........................................
APPROVED
20 1963
Approved: 7zi9
D ATE ------ ByeV ---- . .................