24206 78TH PL W.PDFlill 11111111
6793
24206 78TH PL W
77-
APPLICATION
CA" No.
for..................................
The City ors n SIDE $EWM PERXff
OUTSIDEJ:�-� INSIDE REPAIRS E] EASEMENT No . ............ .........................
J- 10 0-
4.-i ................. . ......
OWNER 2,
............... CONTRACTOR ......
.......................................................... PERMIT No.
STREET
................... 10 --- - -------------- -- -- ---- --- -------------------- AMb� JjOT No . .................................................. ------------------- BLOCK No . .......................... .......
HOUSE No......
.. . ... ..
NAME ADD.
N
J
Date Approved:
BACEFIIJ, WORK ORDER ISSUED ................................... DEPOSIT, .............................................
SEWIER WORK ORDER ISSUED .......................................... DATE ................................................ .......................
By
5'6
0
9
0
P-A
APPLICATION CARD No . ......................................
for
The City of Edmonds SEDE SEWER PERNaT
OUTSIDE E] INSIDE E) REPAIRS E] EASEMENT No . ......................................
OWNE. ............ (1, � 7. 2 - - ,.e . ...................................................... CONTRACTOR .................................................................................................... PERMIT No . .........................
2-qzcC--- STREET
HOUSE No . ........................................... ------------
AVENUE LOT No . .................................................... ................. BLOCK No . ...............................................
NAMEADD. .-- ....................................................................... .................................................. .......................
Date
BACKFILL WORK ORDER ISSUED .. ................................. DEPOSIT, $ ........ ....................
SEWER WORK ORDER ISSUED ...................... ...................
Approved:
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 or officers shall be [ia-b]-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).