21315 95TH PL W.PDFiiiiii lill 11
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21315 95TH PL W
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION [:] REPAIRS 0 EASEMENT No . ..........................................
110-02400
OWNER ............ George R. Aldricli
--------- ............................ ................ ................................. CONTRACTOR ..... ........... ............................................... .................... ........... PERMIT No ...............
ADDRES-S ........ Z1.3.1-5 ... ..... 9.5111 ... P-1 ........ W ............................................ - ---- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ...........................
NAME OF ADDITION .....................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ........................