23720 77TH AVE W.PDF111111111111
6523
23720 77TH AVE 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 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 s-ha-11 be lia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
0
E
0
APPLICATION
for
The City of Edmonds STREET FILE SIDE SEWER PERYaT
OUTSIDE E] INSIDE REPAIRS
4'A _2
CARDNo . ............... ......................
EASEMENT No . ......................................
.� / /) /0'f
77
OWNER ............................................................ * ... CONTRACTOR O�P ......................................................... PERMIT No . .......... ...
HOUSE No...93 7 V 0 77<7_ze STREET No z
I
. ................................... ......................................................... AVENUE LOT Or,, . ..... ----------------- . .......................... BLgVK No . ...............................................
NAME ADD. ... ..... .....
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .........................................
SEWER WORK ORDER ISSUED ......................... ................
AP Rm/
Approved:
----- BY
DATE J. ..... .. . .......