690 13TH WAY SW.PDF11111
700
690 13TH WAY SW
.0
^111111CATION
for
The City of Edmonds STREET FILE SEDE SEWER PERMT
OUTSIDE [j INSIDE E] REPAIRS E]
OWNER ...... /
��r . ..........
HOUSE No . ........ :�f -------
a . k
CARD No . ...........
EASEMENT No . ......................................
CONTRACTOR .................................................................................................... PERMIT No.
........... .................. .......... . .....................
STREET
........... t
---------------- ----- ----------------- ............... AVENUE LOT 'No . ................................................. BLOCK No . ...............................................
NAME ADD . ................
Date Approved:
BACKPILL WORK ORDER ISSUED ........ .......................... DEPOSIT, $ .............................. ..............
SEWER WORK ORDER ISSUED ........................ ................. DATE
.. ...........
...... By