21315 95TH AVE W.PDF11111111 lill
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21315 95TH AVE W
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.or j.Z':g"710 F I 11,F, APPLICATION
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for
The City of Edmonds SEDE SEWER PERNaT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No... ........................................
111-06600
OV17NM----------- E.d.w.ard --- B.a-rt-e-ls --------------------------------------------------------------- CONTRACTOR., ................................................................................................ PERMIT No . ......................
ADDRESS ....... Zl3J!,i.. --9-5th ... Ame.--At ............................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION
40
0
Dye Tested On Sewer 1972
Approved:
DATE... ............................................ By ......................................................................