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22405 73RD PL W
APPLICATION
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The City of Edmonds SIDE SEWER PERMIT
UTSIDE INSIDE REPAIRS
OWNER ....
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HOUSE No . ... .... I ...............
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CARD No. —
EASEMENT No . ......................................
.................................... ...... I .................. CONTRACTOR ............ -- - -------------------------------------------------------------------- PERMIT No.
jp�� - STREET I I <�Y BLOCK No . ...... 3 --------- ( .... 73
............................... AVENUE LOT No. ../ ------- i -------------- ------------------------------------- ... ............ .......
NAME ADD.
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Date Appro,
BACKFILL WORK ORDER ISSUED ------- ....................... DEPOSIT, $ ........ .......................... .........
SEWER WORK ORDER ISSUED ...................................... DATE
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