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The City of Edmonds
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APPLICATION
for
SEDE SEWER PERNOIT
OUTSIDE F-1 INSIDE n REPAIRS n
CARD No . .........
EASEMENT No . ..............
OWNER ............... X ............ /V -------------
..................................................
CONTRACTOR ...... ...... ------ (�,M ............. PERMIT No.
HOUSE No . .......... -------
-------
STREET
AVENUE LOT 'No . ...................................................................... BLOCK No . ...............................................
NAMEADD . ........................................................................................................................................................
71
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ---------------------------------------------
SEVVER WORK ORDER ISSUED ..........................................
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DATE................................................ By .....................