709 6TH AVE N.PDF111111111111
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709 6TH AVE N
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
OUTSIDE F-1 INSIDE n REPAIRS ❑
CARDNo - --------------------------------------
EASEMENT No. ...... ----------- -------------------
To
.................... PERMIT Is
........ CONTRACTOI�'�A�:':'�'-nd--
OWNER -------
STREET Y 7
J3 AVENUE LOT'No. . ..... .... BLOCK No- ----------------- ------------------------------
.......---- ............. f �2 ... ..................
HOUSE No/ ------------ ......
NAME•ADD - --------------------------------------------------------------------------- -----------------------------------------------------------------------------
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ..............
SEWER WORK ORDER ISSUED ..........................................
Approved:
---------- ------------
DATE ..... --------
............