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21700 96TH AVE W
K04 im" #me&" aim APPLICATION
tict: I Fle for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ......................... ................
109-031nn
OWNER ............ J.o.h-n ---- G Gr.an-b.erg..
-- ... .... .... .. .. ..................................................... CONTRACTOR .................................................................................................. PERMIT No . ........ . ............
ADDRESS ........ 2.170.0 ... !!� ... 9.6.th..A.ve.-..w . . ............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
I ;o
C)
loo.
WT 120 70M.ks
Woo..-
W-A
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