21428 95TH PL W.PDF1111111.11
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21428 95TH PL W
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No . ..........................................
110-02750
OWNER........... 14m.-R.-Cudney ................................................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 21.42.8 ... T! ... 9.5th --- PA.@ ... UP ................................................ LEGAL DESCRIPTION: LOT No . .............................................. BL()CK No . ..... ......................................
NAME OF ADDITION ....................................... ......
-0
0
Dye Tested On Sewer 1972
Approved:
DATE...................................... ......... By ......................................................................