21424 95TH PL W.PDFiiiiiiiii
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21424 95TH PL W
C . - - ie,- .., APPLICATION
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A� for
The City of EdmondS0-;.,qafl SME SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No .. ................... ......................
110-02800
OWNER ........... 1.1_,,_B. Anderson
........................................... .............................................. CONTRACTOR .......... ...... ........................................ ................... ................... PERMIT No . ........... ..........
ADDRESS........ 2.1.424-..,!t --- . ................................................
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE.............................................. - By ............................... ......... .......................