24218 78TH PL W.PDFlill 1111 lill
6797
24218 78TH PL W
10
APPLICATION
2�'�4 Fa!,, ;dARlrNV-"0 ........... 10* . . ..........
for
FILE SIDE SEWER PERMff
The City of Edmonds Sv(EET EASEMENT No . .............................
OUTSIDE 0 INSIDE REPAIRS 0
......... ..................
OWNERI.R�..4 ..... ...... ... ............................................. CONTRACTOR .... CA .............................. ........................................... PERMIT No.
STREET
.............. ................... .................. ...... AVENUE LOT
HOUSE No...... ..... ...................... No. ...................................... .... BLOCK No . ........ ...... .......
. ................. '�A:
NAME ADD . ......... .................. . 4
1.7;o� .......... .......
................ ... .................... ..................
kv 10 4
I/
Id IC�
PPRQVED
3-02
Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, ......................................................
SEWERWORK ORDER ISSUED ................................................ 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 ofEdmonds does not warrant the
accuracy of anything set for - th on these
map(s). Any person or entity-reque sting 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-o-yee-s o-r officers -sh-a-11I be habl-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).