21329 95TH AVE W.PDF) iiiiiiiiiiii
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21329 95TH AVE W
APPLICATION
for
The City of Edmonds' SEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS EASEMENT No . ..........................................
111-06800
OWNER ........... Robert J. 0affer
................................................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ...... 211U ---- --- 95th ... Ave....1.1 ................................................ LEGAL DESCRIPTION: LOT No . .............................................. BIA)CK No . ............................................
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ................................... ..................................