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21701 98TH AVE W
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS C] EASEMENT No . ..........................................
109-00300
OWNER............ dohn...U.en .......................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ ?.1.70.1 .... ..... 98t.h ... A.ve.....Il ............................................... LEGAL DESCRIPTION: LOT No . .............................................. BIAD�CK No . ...... - ....................................
.. ....... .. .. .... .. ....
0
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ........................... ..........................................