615 3RD AVE N.PDF111111111111
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615 3RD AVE N
The city of Edmonds Water Service Drawing EASEMENT . NO . ............................ ...............
NEW CONSTRUCTION REPA110; El LID NO . .................. . ASMT. NO . ........ .........
................... PERMIT HO . ....................
CONTRACTOR........ ............... ....................................... .
OWNER.......................................................................................... . ... rs, 0 BLOCK NO . ...................................
JOB ADDRESS ... &!5 ....... 5.,rz� ....... k, LEGAL DESCRIPTION: LOT.
.&. 0 .................. I .......... . .
U-\CD
WMAN
-3� XVC(, 1�
................ I ........................................
....................................................... ............................... I., ............
NAMEOF ADDITION .............. ............................................. ... . .................................... ............
4e too
Approved:
DATE... q.— ................... B y ................. ..........
pv4�V-00UI-11175 (REV.11 1178)
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS E]
113-05900
OWNER........... iay-c�e ... K-.-Ko-ex.ner ------------------------------------------------ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... k1.5 .... 3.rA ... Aye. N.
................................................................. LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................