21705 96TH AVE W.PDFiiiiiiiiiiii
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21705 96TH AVE W
APPLICATION
for
The City of Edmonds SME SEWER PERNaT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No . ..........................................
110-06000
OWNER............ Alan ---- J.-.5he-alan .......................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ �1705 - 96th Ave. 11.
. ........................................................................................... LEGAL DESCRIPTION: LOT No . .............. ............................... BLOCK No . ............................................
0
NAMEOF ADDITION ..........................................................................................
Dye Tested On Sewer 1972
Approved:
DA17E................................................ By ......................................................................