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ACTION REPORT
N? 1820
SUSPENSE DATE:
Date: Time: /0: 00 Am) File #
Attachments: =Yes
REQUESTOR:
ADDRESS: tJ Al.
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PHONE;
REQUEST RECEIVED BY:
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ACTION: OX 62�
All -Concerned Notified
Action Completed/File
APPLICATION
for
The City of Edmonds
SEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS EASEMENT No . ..........................................
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OWNER........... �1.9.f9r4A ... 9 ....... V .................................................................. CONTRACTOR ........................................................................................ --------- PERMIT No . ................
AbDRESS ....... 6.12 ... 91LAV.e, .... N, ............................................................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..... ......................................
NAME OF ADDITION
0
4
DYE TESTED ON SEWER, 1972
Approved:
DATE................................................ By ......................................................................