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1012 SPRUCE ST.PDF1012 SPRUCE ST APPLICATION CARD No . .......................... ............ for The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ......................................... OUTSIDE J' INSIDE ❑ REPAIRS ❑ OWNER ...k%<... .......... ?......DA.../7 ..I.............................................................. CONTRACTOR .. %77.a..h or............G o..hs......... ...Z.h..C.,... ..... ............... PERMIT No. STREET HOUSE No. ....... t O.. /.Z.............. �P.t...u..0 e.............................................................. AVENUE LOT No. BLOCK No. ................. NAMEADD................................................................................................................................................................................. ID$' i ! - -j - �' i \ • ;e it i I� 4 � -Date ,Z4e..� � Approved: -- ----------- ____ _ BACKFILL WWRE IIED� ILE......................... DEPOSIT,$...................................................... SEWER WORK ORDER ISSUED ................................................ DATE.. . .....✓.....'��(O.. BY ...✓....... ' 0%J << 0-