321 12TH AVE N.PDF1111111111
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321 12TH AVE N
APPLICATION
for
The City of Edmonds 1--, j" "C i'' -- -.,
I I - SIDE SEWER PERMT
EASEMENT No . ..........................................
-R�w CONSTRUCTION E] REPAIRS 0
120-07200
OWNER........... Mark ... Calvert ------------------------------------------------------------------- CONTRACTOR ......... ........................................................................................ PERMIT No . ......................
321 12th Avenue N.
ADDRESS....... .................................................................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
NAME OF ADDITION
Dye Tested On Sewer 1972
Xpproved:
DATE................................................ By ......................................................................