7707 LAKE BALLINGER WAY7707 LAKE BALLINGER WAY
APPLICATION
for
CARD No . ..........................................
The City of Edmonds
SIDE SEWER PERMIT
OUTSIDE 0 INSIDE 0 REPAIRS 0
EASEMENT No. ............................................
OWNER
.
4.11
........
...........................................
I .... CONTRACTOR ..... ....... ..... Ilits....._...........................
........................ PERMIT No.
HOUSE No .........
.... ...............................
STREET 4 — s
AVENUE LOT No. 4!7� 4'r�.t,
............. ..............................
I/ 4-0 13 1
13LOCK No .
NAME ADD.......
.......................................................... .
Date
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ..........................
SEWER WORK ORDER ISSUED ....
Approved:
DATE...& .....
APPROVED
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