22916 75TH AVE W.PDF5992
22916 75TH AVE W
APPLICATION CARD No . ......................................
The City of EdmondsSTREET FILE for T
INSIDE EASEMENT No . ......................................
OUTSIDE F-1 sEwEp* P7R.PAIRS Cl
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OWNER ......... ................ CONTRACTOR ............. ....... ec. hz'0"�'C. 9—. r .......................... PERMIT No.
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HOUSE No . ........... 1 ;__ / ................... -. AVENUE LOT No . .............. .................................................. ELOCK N . . .........
F. ki x NAME ADD . ............... , � �.. te. g. ---- ).--.<C417 ......................................
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BACKFILL WORK ORDER ISSUED ............ D . at . e ............... DEPOSIT, $ ............................................. Approved:
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SEWER WORK ORDER ISSUED ---- ..................................... DATE ..... . ...... ...........