21710 97TH AVE W.PDFiiiiii iiiiii
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21710 97TH AVE W
APPLICATION
for
SIDE SEWER PERMIT
The City of Edmonds r'Ll
NEW CONSTRUCTION REPAIRS EASEMENT No . ............................. ............
109-06100
OW`NM ............ Robert A. Durr
............................................................................................... CONTRACTOR ................... .................................... .............. ------------------ PERMIT No . ......................
ADDRESS -------- 2.171.0....T --- . . ...............................
LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No . ...... .....................................
NAME OF ADDITION
Dye Tes-t-ed On Sewer 1972
Approved:
DATE..... ........ ............................... - By ......................................................................