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21313 84TH AVE W
APPLICATION
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The City of Edmonds STRE, U- r E SEWER PERYaT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS E]
324-04000
OWNER........... L.l.QY.d--B--.-M0-GrP . ............................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... �1313 84th Avenue W.
. ..................................................... ..................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
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NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ........................................ . ............................
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