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565 HEMLOCK STIaIIA
APPLICATION
for
The City of Edmonds SIDE SEVVER PE]lAM
105-08500 NEW C40NSTRUCTION 0 REPAIRS 0 EASEMENT No... ........................................
OWNER........ RAymon.d-It.ek .............. ....... ----------------------------------------- — --- CONTRACTOR .............. ................ ----------------------------- ------------------------------------ PERMIT No . ........... ..........
ADDRESS .... 565 ... Heam]DCk .. W ay ........................................................... I ... LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No - ------------------- - -----------------------
NAME OF ADDITION ....................................... I ------- ------
I
, Zr:� �lb
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE----------------- ................. ...... By — ............... .................. ............................. —