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654 4TH AVE S
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APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ..........................................
100-07000
OWNER........... Fuller., ... Leona-rd ---------------------------------------- ------------------ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... �5.4 ... 4.t h ... Av.e ...... S .............................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
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NAME OF ADDITION .......................................
Dye Tested On Sewer, 1972
Approved:
DATE................................................ By- ....................................................................