LAKE BAL SD - LOT 11 STREET FILEiiiiiiiiiiiiii
15928
24039 74TH AVE W
APPL ' "%ION
for
-NEU F" SIDE SEWER PERMIT
Tim City of Edmonds bi
claff, OUTSIDE [I INSIDE REPAIRS 0
**At 0%40"V
OWNER ..6,..E. ... 7.-ar.oquti ............
HOUSE No. ..L.A...) ............ ...........
0 ��o�
E
k-
Z
I ')
CARD No. ....................
EASEMENT No. ... ..... .............. ......... ......
........... CONTRACTOR ...
.... PERMIT No.
STREET
.......... AVENUE LOT No . ...................... .............. .......... .................. BLOCK No . ............ ......... ............. ................
NAME ADD ... ...a, 4;.o-S ?Ll aT..
...... .............. .. . .........
Date 0
BACKFILL WORK ORDER ISSUED ......................................... DEPOSIT,
SEWER WORK ORDER ISSUED ......... ...................................
iz
M62
Approved:
DATE......., .. .......................
...... ....... BY ... ...... It .......... ............................... ........... .............
APPLICATION CARD No . ......................................
for
The City of Edmonds SIDE SEWER PERM"
EASEMENT No. ......................................
OUTSIDE ❑ INSIDE F1 REPAIRS ❑
OWNER ....... ...... ............................................... CONTRACTOR ........ G.AF .. X-4 ...... e --------- PERMIT 110 --------------
HOUSE No........... ;zlQ-,g-g:n ............ STREET
AVENUE LOT No - ---------------------------------------------------------------------- BLOCK No. ...............................................
NAMEADD--------------------------------------------------------------------------------------------------------------------------------------------------------------
•
•
BACKFILL WORK ORDER ISSUED .......
SEWER WORK ORDER ISSUED ..............
g ,/ 0 3 �
Date
.......................... DEPOSIT, $ .....................
Approved:
DATE .........................
...... By ..............................................................