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1601 BROADWAY 2016-01-01 MF Import
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1601 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 8:55:30 PM
Creation date
1/23/2017 8:54:09 PM
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Template:
Address Document
Street Name
BROADWAY
Street Number
1601
Imported From Microfiche
Yes
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CHARTNO. �/ �7�Z�--S <br /> everen <br /> e <br /> City of Everett <br /> Sewer Applicc�tion and Permit <br /> No. 23236 DATE 1 ' /'� <br /> __.- <br /> Service Address /' ' � / ' Utility Acxount No. <br /> � Permit Pee ' / <br /> Billing Address 1� �'' � ' — <br /> City, State, Zip � • ' C:onnection Charge(s) _ <br /> Owner (Mortgagor� `" Total Fee <br /> � I <br /> Billing Name <br /> Connection By - <br /> � .;i � <br /> Address Signed �" -�' � <br /> CustOmer <br /> Phone � ' �/� � <br /> DESCRIPTION: Sewer District — <br /> Lot : Block Monthly Sewer Service � � <br /> Plat ' <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ' <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line _ <br /> N, S, E, 6Y_.� / ft. <br /> S�c r�< < w,-i., er� ,T � as�I' . <br /> Approved By <br /> Ciiy Engineer <br /> _ <br /> Issued By �_ <br /> Inspection By — ��'� `— <br /> � <br /> Datelnspected � ' �-S �� <br /> SEE SKETCH ATTACHED N0. Z�Z3� <br /> � � <br /> I INSPECTION <br />
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