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1614 BAILEY AVE 2016-01-01 MF Import
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1614 BAILEY AVE 2016-01-01 MF Import
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Last modified
1/23/2017 10:39:13 AM
Creation date
1/23/2017 10:38:24 AM
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Address Document
Street Name
BAILEY AVE
Street Number
1614
Imported From Microfiche
Yes
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� <br /> - I <br /> evere.t � � <br /> ;� I <br /> � ~ / I <br /> i / . <br /> � '. . <br /> I <br /> City of Everett � � <br /> Engineering Uepariment � i <br /> Sewer Application ar�d ��rm�� '� <br /> � � �� ;� �� � � <br /> N0. [;_!J i � DATE _ —_ �_ <br /> Service Add-ess_ Utility Account No._ � - � � <br /> Billiny Address_ � ' < • Conne�tion Permit Fee �� %� <br /> ��_ <br /> City, State, Zip � _ Connection Fee -" <br /> Owner (Mortgagor� Total Fee - -��-��`�-_+� l <br /> — - . � <br /> Billing Name_ A�����''�A�2� J_ <br /> Connection e � - � ' " • COs�r1F'� .f''�`� <br /> } - /�/�L1�i'ZO.J# <br /> Address_ , . - . . ."" --- ------- � <br /> - ----- sig��ed— -- b <br /> c,�,�,���„�� <br /> Phone---_ . <br /> DFSCRIPTION: <br /> Lot-------- <br /> B lock___�____ <br /> Division or Addition____._ ________________ <br /> ------ Sewei Gis!iir.t <br /> --� Mort�dy Sewer Servicc ��____� <br /> Remarks� i ,i. : < ' ' _ <br /> .' � �✓lcrth!y Sewer Constr._ - i_j -- <br /> ��/ - n <br /> _/ '/� � }- riS. ir–'__�j � �/ o i � <br /> W-....,.�_ (r��—_����_cc� C-/�� . �/ ��. <br /> -�--- Appraved 9y /� _ <br /> City Engineer <br /> ���.QG'e S C' .a�iQe -x.wr�, I�_SLso � � <br /> �'`-.zs s Issueu Ry <br /> - --- ------ ---- .�_ <br /> — — ConnectionBy�l��'a_�L�/ <br /> �- <br /> -- Inspec�ion By__�1�� �+��---� <br /> Date Inspected__ � /zsr�f <br /> _ f- --- <br /> - - - __ <br /> U - _ <br /> SEESKETCH ATTACHED <br />
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