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1120 BROADWAY 2016-01-01 MF Import
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1120 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 6:51:17 PM
Creation date
1/23/2017 6:49:40 PM
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Address Document
Street Name
BROADWAY
Street Number
1120
Imported From Microfiche
Yes
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• eveiett <br /> ,i� -� � -z� - s <br /> � ��� � �'�� iz- 2� -�4 <br /> City of Everett <br /> Qu. � <br /> Engineering Oepartment <br /> ��3��� ,r <br /> Sewer Application and Permit <br /> No. 20615 DATE - <br /> Service Address " ' Utility Account No. � <br /> , . ,' <br /> Billing Address . Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> ._ � Custortrer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition - Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral - <br /> Remarks: <br /> Abutting Lot Line <br /> ,, ' � . <br /> N, S, E, W ft. <br /> %�' _,r ,-�v <br /> f� <br /> Approved By <br /> CrtV Engineef � � � <br /> Issued By <br /> Inspection By <br /> o Datelnspected <br /> SEE SKETCH ATTACHED N�� 20615 <br /> INSPECTION <br />
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