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22910 75TH AVE W
APPLICATION
for
ThO City of Edmon-&---- SEDE SEWER PERKff
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OWNER ....... !C . ........
.......................
HOUSE No.
J�
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CARD No. -... ......
EASEMENT No . ............
—L-ZP / o Y ---
................... CONTRACTOR ......... . .... ... .. S--lp .. ... ...PERMIT Nolo
STREET
................... AVENUE LOT No . ..................... ;.21 ............................. I ........ BLOCK No . ......... t ........ ..........................
NAME ADD 4 . . ....................
116
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APPROVED
JAN, 10 W82
Date Approved
BACKFIELL WORK ORDER ISSUED ...................... ..................... DEPOSIT_ $ ....... ........................ ..............
SEWER WORK ORDER ISSUED ..............
...... .. BY
............ ..............
. .........