21821 98TH AVE W.PDF9671
21821 98TH AVE W
I
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS 0
log-00300
W. Carbines
OWNER.............................................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ Z1.8.2-1 ..... ... 9.8th ... Avg ....... t.-I .............................. I ............... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................