21421 90TH AVE W.PDFlill lill lill
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21421 90TH AVE W
APPLICATION
for
The City of Edmonds
SEDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
111-04350
OWNER.......... .................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
21421 - 90th Ave. 1-1.
ADDRESS.......................................................................................................... LEGAI, DESCRIPTION: LOT No. —... ................................... .... BLOCK No . ............................................
NAMEOF ADDITION.. .......................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................