21629 98TH AVE W.PDF9654
21629 98TH AVE W
APPLICATION
for
The City of Edmonds
SIDE SEWER PERMT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT.No . ..........................................
109-00900
OWNER............ Pua....P.utaaa -------------------------------------------------------------------- CONTRACT4DR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 2.1629 - 98t'h..Ave.---l�J . ............................ .. ....... . ..
........................... ----------- ... LEGAJ, DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION
Dye Tested 0-�, Sewer 1972
Approved:
DATE................................................ By ...................... ...............................................