540 5TH AVE SIIIIIIIIIIIIII
14�00
540 5TH AVE S
The.City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION [:] REPAIRS 0
OWNER— a 1-4.. A-77.- I w--. A --7-4
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ADDRESS.....................................................
EASEMENT No . ..........................................
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CONTRACTOR --; R T No . ......................
LEGAL DESCRIPTION: LOT No . .............................. ............... BLOCK No . ..... ......................................
NAME OF ADDITION--=-.-.:. _1�Va
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