23832 74TH AVE W.PDFIIIIIIIIIIII
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23832 74TH AVE W
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
OUTSIDE Cf� INSIDE 0 REPAIRS 0
CARDNo . ............... ....... .. ... ...........
EASEMENT No . ......... ..... .......................... -
OWNER .... CONTRACTOR .4.o.1.,q ...... CO.". .7�Z4-e IV ... q..O ...... PERMIT No . ..... j
/ . ....... .... ..... ....... * ... * .... **"*'* ... * s
STREET
9 ........ . ......... I . ...........................................
HOUSE No . ..................... �—Z .............. AVENUE LOT No ... ..... 4P A ........... ............... ............. ... BLOCK No. ....a ............... ................
NAMEADD.. . ........ ...............................................................
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Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ...................................................... /X./
SEWER WORK ORDER ISSUED ................................................ DAT". ..-_ ..... ...............................
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