681 13TH WAY SW.PDFIiiiiiiii
699
681 13TH WAY SW
QT
REET
FILE
APPLICATION
w ,
The City of Edmonds
for
SEDE SEWER PERNUT
OUTSIDE E]
INSIDE R REPAIRS
CARDNo . .....................................
EASEMENT No . ......................................
OWNER ..... 41— Z3 CONTRACTOR .............. —�K-NJA.rn ...........................................................
..................... 1. STREET "� L-L— - PERMIT No. . C-4//
HOUSE No....4.& ... V.- ----------------- AVENUE LOTNo. ....................
---------------- ------------------------------------- 13LOCK No . ......................................
7 04 - L A - V J
NAMEADD . .. ..................... ................................... -- ........... � I rl�
........... I .........................................................
k 0 It. S—�
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .......................... .................. Y
SEWER WORK ORDER ISSUED ..... ............................... DAtE . ........ ........ 6 --- ------- BY