21816 96TH AVE W.PDFiiiiiiii iiiiii
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21816 96TH AVE W
APPLICATION
for
The City of Edmonds" SIDE SEWER PERMIT
NEW CONSTRUCTION [] REPAIRS 0 EASEMENT No . ..........................................
109-04300
OWNER............ D.a.v.i.d ... K.i.n.man ................................................................... CONTRACTOR ..................................................... ..........
.. . .. ....... ---------------------------------- PERMIT No . ......................
ADDRESS ........ 218H ... . ... . ............................................. LEGAL DESCRIPTION: LOT No . ..................................
0
-0
NAME OF ADDITION ...........................................................
Dye Tested On Sevier 1972
Approved:
... BLOCK No . ............................................
DATE................................................ By ......................................................................