23428 75TH AVE W.PDF.111111111111
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23428 75TH AVE W
APPLICATION CARD No . ..................... ! .......
for
The City of Edmond SEDE SEWER PERMIT
FILE EASEMENT No . ......................................
OUTSIDE INSIDE F1 REPAIRS M
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OWNER LdWdIll --------- ........................................................ CONTRACTOR ....... .............................................................
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STREET
AVENUE LOT No. ....... q ................. .
HOUSE No.a,.3-4.9-9 -------------- -76t)-j.--\A. /..EcfwdnJ,5 ..... . ........................................... BLOC&,! ofe'�4 si-f-
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b Date
BACKIFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .................
APPROVED
4k 12 1963
Approved:
DATE ------ By
............ ... ....................