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APPLICATION
The City of Edmonds for
r`l t r SIDE SEWER PERMIT
c �TSIDE ❑ INSIDE ❑ REPAIRS ❑
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CARDNo . ......................................
EASEMENT No. ......................................
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OWNER ........! .Y..-r✓-Fes...-•--- .....SUE?-L l f�--�.IV�..
....'a ........... CONTRACTOR ...................-S.-'km.................................................... PERMIT N .J-•
HOUSE No..../._Z..�5 ---......................•---.. TN/T.V .. a.4/T%�.. AVENUE LOT No. ---• BLOCK No. ...............................................
NAME ADD.
PA RAaisE L-AAv
--•-•-----....--•-----•..............•------------- ....------........---...-------------•----------------•---.....................---------
BACKFILL-WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ......................................... DATE ,. ._ ...... By .'!�� =� ...............