23709 78TH PL W.PDF11111111111111
15245
23709 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 -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the I oc'ation 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
empl-o-yee-s or officers shall be lia-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
8][]DE SEWER PERIVUT
The City of Edmonds ar"Effma" FILE
EASEMENT No. . .....................................
OUTSIDE INSIDE E] REPAIRS E]
d P. ...................................................... ------ .................. -------------------------------------------- PERM
OWNER ..PPAqJ . ........................... V-e ....... CONTRACTOR .... IT No . ......
STREET
HOUSE No...."' 70? W, AVENUE LOT No . ...................................................................... BLOCK No . ...............................................
......... ... A ......... 17 ------------------------------------------------ -----------_-----
NAMEADD . ............................................................................................................. .....................................
t
L/ A�l
C-) C/o
A P P 0 �A_.
PROVt
o� - - �'�7
st
121963
Date Approv
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
........................
SEWER WORK ORDER ISSUED_ ....................................... DATE . .. . . ....... Z By ...............