24212 78TH PL W.PDF111111111111
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24212 78TH 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 forth 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-o-yee-s or officers sh-all be Hab-I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
f
The City of Edmonds
APPLICATION
for
FILE SEDE SEWER PERYaT
OUTSIDE [:] INSIDE 0 REPAIRS Cj
CARDNo. ... ...................................
EASEMENT No . ......................................
'L/-0 /oil —,
OWNER ...... 4
� .................................................................... ... CONTRACTOR 6tict
STREET........... . ......................................... ........................... PERMIT . ........
HOUSE No. . .............. -7 8' Pk 7
....... ........... ................................. ............... AVENUE LOT No .................. BLOCK No' -----------------------------------
NA.................... ..
. . ........................
AM ADD.C�e xa ......... �-.
AlwA
I I*
0
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ..........................................
DATE----------- By . ... ... ... ... ........................