23706 78TH PL W.PDFlill 11111111
6783
23706 78TH PL W
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 for ' th on these
map(s). Any person or entity-reque sting 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
emp-l'-oyee-s or officers sh-all be Ha-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION CARD No . .......
for
The City of Edmonds SIDE SEWER PERMT
REET FILE EASEMENT No . .......
�lre OUTSIDE INSIDE E] REPAIRS
.................... . ................. CONTRACTOR ............. PERMIT No.
OWNER.. ---------------------------------------------------
09 STREET
HOUSE No.w z ................. 7,`
............... ........................................................... AVENUE LOT No . ................................... ---------------- * ----------------- BIA)CK No . .......... 7 .........
NAME--------------------------------------------- ..................................
Pi
0
I
Date
BACKPILL WORK ORDER ISSUED ......
SEWER WORK ORDER ISSUED .............
............... DEPOSIT, $
...............
PROVED
L � IS3,
Approved:
............ DAT)...
.... ... .. . ....
/,.� ..................