1457 8TH PL S.PDF1457 8TH PL S
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The City of Edmonds
• OWNER ...t../:L./.d44-).... ...�......,Rr?...........El1r ...e.......................
HOUSE No. ..../.. t...�....!......
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APPLI&ION
for
SIDE SEWER PERMTT
OUTSIDE P; INSIDE ❑ REPAIRS ❑
CARD No. ..........................
EASEMENT No. . ..........................................
........................... CONTRACTOR ... W. <�'7' /. 'A(
...... �!r%;7
STREET ,�''.0.................................... PERMIT No.
........................... AVENUE LOT No...........7............................................................... BLOCK No.......................................
NAMEADD .......... v.... "....C.�5.�........................................................................................
Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $.......... ..r...........* .........v........
SEWER WORK ORDER ISSUED ................................................ DATE...................................................... BY
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