21819 97TH AVE W.PDFiiiiiii - I lill
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21819 97TH AVE W
APPLICATION
for
The City of Edmon-'
SME SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No . ..........................................
109-04200
OWNER ........... Doyi d Govi
. ........................................................................................... CONTRACTOR ....................................... .......................................................... PERMIT No . ......................
ADDRESS ....... 21M .. Pm ... 97t-h ... Ave.-I.I. .............................................. LEGAJ, DESCRIPTION: LOT No . .............................................. BIA:)CK No . ............................................
NAME OF ADDITION
Dye Tested On Sevier 1972
Approved:
DATE....................................... ........ By ......................................................................