501 MAIN ST.PDF14171
501 MAIN ST
APPLICATION
for
The City of Edmonds SEDE SEWER PERBUT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ..........................................
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OWNER....... f1l)Z ...... ----------------------------------------------------- CONTRACTOR ................................................................................. ---------------- PERMIT No . ......................
ADDRESS ---- ............................ I ........ LEGAL DESCRIPTION: LOT No. . ............................................. BLOCK No . ........... ................................
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NAMEOF ADDITION .........................................................................................................................................
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DATE........................................ ....... By ......................................................................