21814 97TH AVE W.PDFIII iiiiii
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21814 97TH AVE W
APPLICATION
for
The City of Edmonds SIDDE SEWER PERYaT
NEW CONSTRUCTION [:) REPAIRS EASEMENT No . ..........................................
109-05600
S.H. Wardell
OWNER .............................................................................................................. CONTRACTOR .................................................................................................. PERMIT No..... ..................
ADDRESS ........ 2,1.81-4 .. !n-97:0 ... Awit --- Vit .............................................
Ll
E
LEGAL DESCRIPTION: LOT No . .......................................... -.. BLOCK No . ............................................
NAME OF ADDITION ......................
Dye Tested On Sever 1972
Approved:
DATE................................................ By ..................................... ................................