22004 98TH PL W.PDFlill iiiiiiii
9740
22004 98TH PL W
I p
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
400-05300
OWNER........... ........................................................ ..... CONTRACTOR ................................................................................................... PER.MIT No . ......................
ADDRESS ....... 2.200.4 ... 9.8th ... Pla.ce --- 1-1 .. ................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
.. .... .. .. .. .. ....
0
0
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................