22509 72ND PL W.PDF11111111 lill
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22509 72ND PL W
APPLICATION
TF17-77ET for
The City of Edmonds S FILE SIDE SEWER PERNaT
OUTSIDE E] INSIDE El REPAIRS E]
CARD No . ......................................
EASEMENT No . ......................................
OWNER.... 6A.&n ----------- ........ .................................. CONTRACTOR ............................... ........ ................................. PERMIT No.
01 4L 4. t, 6, S t STREET
HOUSE --------- 77.1� ... . ....... r ....................................... AVENUE LOT No . ...................................................................... BLOCK No . ........................
11
NAME ADD . ......
.........................................................
'72
loe
7
cllp
Ix
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .......................................... DATF)--4*490...
af . ...........
....................................... .............. I--. ......
ADPROVED
- L '1'7 1 Wa