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1420 7TH PL S
APPLICATION
for
The City Of Edmonds T _. FILE SIDE SEWER PERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS
401-06000
OWNER .......... .AmeS... ......DO.C1x1I111E......................................................... CONTRACTOR.--•----------•----............-•---............--....
--•-••..................................... PERMIT No. ......................
ADDRESS-----1.420... M..Place--S--------------------------------------------------------
•
•
LEGAL DESCRIPTION: LOT No ............................................... BLOCK No.............................................
NAMEOF ADDITION----------------•-•--•-•--......---•----•--................................--............................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By......................................................................