23805 79TH PL W.PDF11111111111111
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23805 79TH 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 forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the rnap(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 liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
CARD No. .�t .......... . ... . ..................
for
The City of Edmonds IREET FILE SIDE SEWER P�7
EASEMENT No. ...... I ..............................
OUTSIDE 0 INSIDE REPAIRS 0
10Y
OWNER........... ..... . ........................................ CONTRACTOR ........... A� ....... y .......................................... PERMIT N
STREET
HOUSE No . ........... �777� .. Z. . ............... AVENUE LOT No . ...............
. ................................... ......... .7
................. ....................................... BLOCK No. .. .. . ... ...........
NAME ADD .......... ........
Date Approved:
BACKFILL WORK ORDER ISSUED .. ......................................... DEPOSIT, $ ......................................................
RDER ISSUED ...... .........................................
SEWER WORK 0 . . BY W.2 . ............
DATE.�� . .. . ........... ... .. ..........
.. . . ...... .. .......