620 ELM PL (2).PDF620 ELM ST
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
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OWNER .. �1"�..'....� '-.c.�, . --- �--�lT�a-�IG.�T------------- CONTRACTOR..------------------.......---------.............................---.............................. PERMIT No.......................
ADDRESS .. ...-. ELM -....IS.... .1.--.-.-.-.. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No. ......... ...................................
1a
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NAME OF ADDITION .................
LYE TESTE.t> CAN SEWERS 1 ?3
Approved:
DATE................................................ By......--...............-----..........................................