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23418 78TH AVE W.PDFIIIIIIIIIIII 6681 23418 78TH AVE W APPLICATION CARD No . ...................................... r,r-mp r-m for The City of Edmonds STRta: i mL9 S= SEWER PER3M EASEMENT No . ...................................... TSIDE L�Z INSIDE C] REPAIRS C] ? V 0 WN E R 41e.. W10. HOUSE No. ------------ is 0 V .......... ------------------------- CONTRACTOR ........................... ........................................................................ PERMIT No. STREET ......................................................... AVENUE LOT No'. ll ............ We ....... '(024":? ....... 3310CI No . ............................................... NAME ADD . .. .... a./ .. ---- ------ -------- -------------- * ---------------------------------- NO R Vd /I A, VH z a 40 Date Approved: BACKPILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. SEWER WORK ORDER ISSUED .......................................... DATE ................. 7- 0 ? ?, 011. 1�1!hl V ............... By A4ZZ4� . . ............... NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the -map(s), including, but not limited to, the location 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 employees or officers shall be lia-ble for the information given on this map(s), nor for any one representation provided based upon said map(s).