24031 79TH PL W.PDFIIIIIIIIIIII
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24031 79TH PL W
APPLICATION
for
CARD No. ................. ............
The Cily of Edmonds- SIDE SEWER PERMIT
EASEMENT No . ............ .................... ...........
OUTSIDE)!� INSIDE 0 REPAIRS 0
4=
OWNER...... V ..... ............................. I— ....... "CONTRACTOR .... ....... . ................ .......... .................. PERMIT No.
HOUSE No. STREET No.
............ .............................. ................................. ................... ...... ......... AVENUE LOT ..................... .............. ....................... I ....... — BLOCK No . ............................... ............................
NAMEADD .... .......... .......... ......... ...... ...... ... ........ .....
Date
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ......................
SEWER WORK ORDER ISSUED ................................................
APPROVED
JAN 16 02*
ApproveA:
DATE ........ . ..... ............ ... BY
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
emp-l-oyee-s o-r officers -sh-a-11.1 be llabte for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).