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CITY OF EDMONDS
BLDG. DEPT.
CONDITIONAL PERMIT
WORK, �Zs'>
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O�-ANs ON JOBSITt �OR
A�L INGPECTIONd
0 F.
APPLICATION
The City of Edmonds
-,!, , T� [S SIODE SEWER PERMIT EASEMENT No . ..........................................
Vk- : I I �&
CONSTRUCTION REPAIRS 0
OWNER ........... Art Gi I es
.................................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ...... --- 9.Oth ... A.Ve,..W. . ............................................... LEGAL DESCRIPTION: LOT No . ..... ........................................ BLOCK No . ............................................
NAME OF ADDITION
0
0
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................