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22919 74TH AVE W.PDF111111111111 5886 22919 74TH AVE W APPLICATION for The City of Edmonds SIDE SEWER PERMff OUTSIDE k INSIDE 0 REPAIRS 0 OWNER ........ el V X)V.'.V4r11 ......................... HOUSE No......2-2-�V-I�P- .......................................................................................... w v� 5�- , �' —. -I li n� E E -2. fi- L�4 i':�) c;) 'Ell "N zz A r—j- cx X2 cx cl C3 e E:; CARD No . ..... EASEMENT No . ...... .... .... ........... 411-1 ............. CONTRACTOR ..... ll��o97 STREET * . ..... ............. * .. ............... PERMIT.No.(( ............. AVENUE LOT No. .19, .............................................................. .... BLOCK No. ........................ .... ........................ NAME ADD ...... ............................................................. .......... .......... f7 71 "0' �-w C�� 70 1 Date Approved: BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ........... .......................................... SEWER WORK ORDER ISSUED ................................................ DATElfl-44 ... �' L'"7'. %4tp '?V"0 '0 BY. ..........................