21407 90TH AVE W.PDF1�11 I lill 1111
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21407 90TH AVE W
APPLICATION
for
The City of Edmonds SIODE SEWER PERMIT
jr-
EASEMENT No . ..........................................
l" "41-NQV CONSTRUCTION REPAIRS C]
324-01000
OWNER .......... A* J. Jaeg!�K.. .... .............. CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
.............................. .......................................
ADDRESS ........ 2-1.4-07 .... 9.Q.t.h ... Av!�D:ug� ... W, ------
0
.................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ...............
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................