22814 75TH AVE W.PDFIIIIIIIIIIII
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22814 75TH AVE W
APPLICATION CARD No . ................ ............. ..........
for
The City of Edmonds-, SIDE SEWER PERMIT
OUTSIDE EX INSIDE 0 REPAIRS 0 EASEMENT No . .................. ..... ............ ......
4/0
4�4OWNER .......... ....... IV ........ �4.7
..t ........................................................... CONTRACTOR .... .......... . . .......... ... ........ ....... .. .... ............... PERMITNo.
HOUSE No . ............ j STREET
............................ .......... I .................................................. AVENUE LOT No . .............................................................................. BLOCK No. ............................. ............. ...........
NAME ADD ..... ......... ............... ...... . ..............
td lei
47
jig;; I z
—/�- ZI &) �
APpRoVro
DEC 14 1982
Date - Approved:
A(
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ......................................................
BY .... . .
SEWER WORK ORDER ISSUED ... ............................................ DATE .............. .. .11 ...... % ....... ......... ..............