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1123 VIEWLAND
WAY
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
119-00500
OWNER......... E'... E.....-paYls.....--••-----••----•................................................. CONTRACTOR.....---•---•-•-----................-•-•--•----............-----.................---.............. PERMIT No.......................
ADDRESS 1123 Vi ewl and -wee v/o,-,A..----••----------------------- LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............................................
.................................................. .........--
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NAMEOF ADDITION---•--------•------••......................••----......................................................... ......................
s
Dye Tested On Sewer 1972
Approved:
DATE................................................ By................................--...--.................--............
1
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