341 12TH AVE N.PDFIIIIIIIIIIIIII
14880
341 12TH PL N
APPLICATION
STREET FILE for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION M,--' REPAIRS M
OWNER .-M4/7 ....... S. -/./V.A .............................. CONTRACTOR .... ......... ------------ ........... PERMIT No
ADDRESS ....
YJ ...... . ...... 42
...... ... .... 5-4� ..... (OV-.0ft.a ........... LEGAL DESCRIPTION: LOT No . ............... ............. ............... BLOCK No . .................... .......................
-ot ....................
NAME OF ADDITION ........ Ili- / /.. 4.. j 1: � 1 e ;& � /-
RPPROVED
APR 17 IS67
Approved:
tl,'- � 7 - � -7
DATE................................................ By -------- '- ....... ................................
KI
APPLICATION CARD No . ......................................
for
Th/e City of Edmonds STqEET F SEDE SEWER PERMT
ILE EASEMENT No . ......................................
uTSIDE INSIDE El REPAIRS F1
CONTRACTOR ---- . .. ............... PERMIT No..
OWNER ............... ------- I ....... ........................... ................................................... .. ......
STREET
HOUSE No . .......
... ....................................................................................... AVENUE LOT No . ........ 1.9 ....................................................... BLOCK No . .................................
NAME ADD.
'� -.
......................................... . ..... .....................................................
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ......
SEWER WORK ORDER ISSUED ..........................................
A I
ll
WN
Approved:
................... � — /�- —e��
DATE ..................................
APPROVED
JUL
.EY ..... gj� ...... '/ ....... Y . .................