22701 74TH PL W.PDF111111 lill 11
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22701 74TH PL W
CITY OF EDMONDS
PUBTIC WCPJ(S EMINEERIM
ACTION REPORT
M 1883,
STREET FILE
SUSPENSE DATE:
Date: Time: File #
A++-6—+—
REQUESTOR:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
i TELEPHONE
CONTACT IN OFFICE
,--NHER:
RECEIVED BY:
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ROM
� MMMMOM
ACTION: hY 717FF
All Concerned Notified
Action Completed/File
0
CARD No.
EASEMENT No . ................. .................
OWNER ... CONTRACTOR .......
e ............. PERMIT No.
.............................
HOUS ........ .... AVENUE L .. . .... ...BLOCK No . ......... 2 ............... ........ .................
STREET
E No. ... 2.0 ... / ........ . ..... .......... OT No . ......
NAME ADD ...
ze ........ p .. .. . ............... .............. .................................. ......... .................
APPLICATION
STREET FILE for
The City of Edmonds SIDE SEWER PERMff
OUTSIDE 0 INSIDE 0 REPAIRS 0
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0
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APPROVED
E�B 60'
Date Appiroved
BACKFIELL WORK ORDER ISSUED ............................................ DEPOSIT, $ ........ ................................... .........
SEWER WORK ORDER ISSUED ................................................
DATE . .......... ..... . ...... BY .....
.... ................