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7104THAVE S
APPLICATION
for
Th I e" City of Edmonds SEDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
goo-m 150
OWNER ..... Jcnlcins, ... N,,..N . ................................... ............... CONTRACTOR .......................................................
.......................................... PERMIT No ...............
ADDRESS .. 3.1.0 ....... . ......4tA
.... .. . ................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............ ..............................
NAMEOF ADDITION..........................................................................................................................................
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Approved:
DATE................................................ By .............................................