23927 80TH PL W.PDF111111111111
7335
23927 80TH PL W
APPLICATION CARD No . ......................................
for
The City of Edmonds 2—ur SIDE SEWER PERMT
STREt I FILE EASEMENT No . ......................................
OUTSIDE INSIDE E) REPAIRS E]
A) c,
OWNER.... ............................................................... ................. ...... CONTRACTOR .................................................................................................... PERMIT No.
STREET
AVENUE LOT N .................. '? ...... ............
HOUSE No . ............................................................................................................... 0. J-0 7' ----- �?�LOCK No . ..........
.................
2 3 -7 Z 7 - J0
NAMEADD . ... ............... . .......................................................... .......................................
R'l
'�4
q
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .......................................... ....
Approved:
TF
By
DA .......
4VVROVED
-.,-e%
13
7
pi
LU
LU
�rj
zer
IZ
-2,74
ci
AT
N
it
Is
hPle d Al
NOTICE:
No warranty of accuracy.
The information 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(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -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
ernp-l-o-yees or offiCers shdall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).