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24014 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 for - th 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
empl-oyee-s o-r officers sh-a-11I be [ia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City of Edmonds STREET FILE SIDE SEWER PERMIT
Z�'/) OUTSIDE-g INSIDE E] REPAIRS F-1
CARD No. ...
EASEMENT No . ......................................
J- I P / 0
OWNER ..... :777 lWfi. �� .......
.........
.. . .... ....... CONTRACTOR .......................................................................... ................... ..... PERMIT No.
......... ... ...... ........... ......
STREET
...... .............................. —. AVENUE LOT No . ..................... I ............................................ BLOCK No . ...............................................
HOUSE No . ....... .24-0 --- /4- ............ -.94 .... N--, &),
NAME ADD . ........... M.14.7�R&4 .. ............ ------- 114
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Date Approved
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, ........................................
. ........
SEWER WORK ORDER ISSUED .......................................... DATE (.� ........... . ..... /;�o--- Y, I z . .. . .. .. . ................