23828 80TH PL W.PDFIIIIIIIIIIIIII
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23828 80TH PL W
NOTICE:
No warranty of accuracy.
The information on the attached
map(s) was compiled for use by the City of
Umonds., its Employees and Consultants.
The City of Ecim.onds does not warrant the
accuracy of anything set forth on these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t e -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
emptoyee-s o-r office-rs sh-a-1-1 be I-Ja-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
I
The City of EcInvDAINNIFTO FILE
APPLICATION CARD No . ................................
for
SEDE SEWER PERNaT
OUTSIDE E) INSIDE El . REPAIRS EASEMENT No . ......................................
OVITNER
....................................................................... CONTRACTOR ...... .... ............................... PERMIT No.
STREET
........ ......
HOUSE No. ....... ..... ............... AVENUE LOT 'No. ............................................................. BLOCK No . .......................................
NAME ADD . .... ..
0
140
Date
BACKIFILL WORK ORDER ISSUED --- ...............................
SEWER WORK ORDER ISSUED ----- ....................................
DEPOSIT, $ .............................................
Approved:
APPROVED
1 14 196
A 41963
DATE�!&.tu�� .6/1:3 . ...... 13Y ..........