21316 84TH AVE W.PDF111111111111
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21316 84TH AVE W
fv V n Kr---=- IFL t APPLICATION
0 1 ILE for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION [:] REPAIRS 0
324-04100
owNER........... E=W .. M....San.d ................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... �1316 84th Avneue W. ......................... LEGAL DESCRIPTION: LOT No . .............................................. BLA)CK No . ............................................
.....................................................................
NAMEOF ADDITION ........ ................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................