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23906 78TH AVE W.PDFlill iiiiiiii 6712 23906 78TH 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-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 employees or officers Shall be lia-ble for the information given on this map(s), nor for any one representation provided based upon said map(s). APPUCATION The City of Edmonds for EASEMENT NO - -------- ----------- SIDE SEWER PERMff ------------- T Fl� CONSTRU(�.ION REPAIRS LID NO. OWNER ---------- ---------------------- ---------------- . ..... CONT&kbf(A ..... PERMIT NO. . ... ........ JOB ADDRESS LEGAL DESCRIPTION- LOT NO. -------- 1-4 --------------------- BLOCK NO - ----------------- ----------------- NAME OF ADDITION ....... a4::;'c=0t-rb=�t-4 --------------------------------------------- ---------------------------------------------------- DATE --- ....... )VI *4 . APPLICATION The City of Edmonds for EASEMENT NO . ............................................ SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS E] LID NO. -ASMT. NO . .................. OWNER X-MATAl ...... ............................ CONTRACTOR ..... ----------------------- PERMIT NO. JOB ADDRESS.�Z. ct.c2.31.04 ....... Zf Anc. Y/ LEGAL DESCRIPTION: LOT NO. -------------------- BLOCK NO . ..................................... .................................................................................................................................................................. NAME OF ADDITION ...... ........................................................... r.? ire, )> .2 39474 RECTIVFM JAN 26 1976 PubliC WOMS LAP% - Approved: DATE............................................ By ...................... ..................................... 10 - SEWER DEPARTMENT - STOPPAGE OF SANITARY SEWER MAIN REPORT DATE: 7- 2-60 TIME CALL RECEIVED: 12,�,-�� LOCATION OF STOPPAGE:' Z,3q66 78 AV Q TIME OF ARRIVAL ON THE JOB SITE: I I Is ppi TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED: Z: 4-S CAUSE OF STOPPAGE: 'BuiLb- UP OF '-PAPEP- 4,vb Solios WkERE 51be- SEVVEle CONWX C-rS -rO IWA I A.1 J�� L ACTION REQUIRED TO CLEAR MAIN AND/OR LATERAL: -8.4-0,CAI�e Ou7- A4.4jAl Ycluftz s 7' o' Y a 111E, e, E 5, 4o c -r'�CWZ OZ- FV72res S A) 1) a ir Sv.,Zr viO Aoecie cre. CITY CREW ON STOPPAGE CALL OUT (Personnel Involved):.:: � re- AAj 11q y4cy Ji.41SC Al - /V,4 4 SA-1 I Ti-I A/0 //`4.VO LOCATION OF RESIDENCE AFFECTED: 23qo(o 78.4v it/ NAME, ADDRESS, AND PHONE NUMBER OF PROPERTY OWNER: 23 9 0 (o 7 8 A\/ \4 DESCRIBE DAMAGE TO PRIVATE PROPE u-r RTY: 52.4 7 -r- 44 1 VE %A/4 A10 0,4,&1,4 a x �D cle 710 SZ Z U, C A le - UP r REMARKS: ��ro 62.Q A 6 E (f-A iv 64- S'ArwgCR S T IMIal -Scvce W.411 Aboul 1" ,P4,oce 7b *3u,Lp OP 46A1057' 1AI'VIC.10- -5f---WE4