21706 96TH AVE W.PDFiiiiiiiiiiii
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21706 96TH AVE W
APPLICATION
for
The City of Edmonds SrDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..................... ....................
109-03200
OWNER ............ P.a.trick-A.-i'lolfe ....................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ 2-170&--,� .. 96,th.-Ava.--.14, ........ 11-1-11- ------ I ..... — ........ *"'*' LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No . ......... ..................................
0
0
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE.............. ................................. By ......................................................................