220 2ND AVE N.PDF111111111111
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220 2ND AVE N
APPLICATION
for
The City of Edmonds SME SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS 0
111-0?7(1(1
OWNER.......... D ..... B ..... Douglas ..................................................................
ADDRESS..... 22Q.2nd..AYe....N ..............................................................
CONTRACTOR.................................................................................................. PERMIT No . ......................
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye tested On Sewer 1972
Approved:
DATE................................................ By ...................... .............................