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1614 BROADWAY 2016-01-01 MF Import
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1614 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 9:25:15 PM
Creation date
1/23/2017 9:24:48 PM
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Template:
Address Document
Street Name
BROADWAY
Street Number
1614
Imported From Microfiche
Yes
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CHART NO. <br /> everett <br /> � � SE�l rv l'N�cr.ti�� 7-/t/ �97 <br /> a a?�� w��F��.w- <br /> � ' 8 � � � <br /> City of Everett � g � 8 u . <br /> :� � .-� o •o c� o :� <br /> ,n " .. r� ,-� <br /> C` YR �R M m <br /> Sewer Application and Perr�t � � _ � . � � s � 4 <br /> � � � � � � <br /> ��: � � - <br /> 26��7 ., � W , W � � � � _ <br /> N0. DATE Janua�v ?1 - 1�IT <br /> Service Address Utility Account No. <br /> Billing Address }glg-►���{ Permit Fee z0.D0 <br /> City, State, Zip E1FlPe�'�—a829: Connection Charge�s) -- <br /> Owner (Mortgagor) Total Fee 3D.M <br /> Biliing Name � Mo fees due per Ord. 1171-R5 <br /> i% � , <br /> Connection By � �, � I�,,,� <br /> Si ned 1' �/-'i� , , �� ._"_�""_ � <br /> Address 9 / Cusromer , <br /> Phone <br /> OESCRIPTION: Sewer District_�..�,��pg <br /> Lot,���— Block_.�— Monthly Sewer Service <br /> Plet ��j ni.. r <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> i ngin er <br /> IMPORTANTI <br /> Issued By y�y��t E MCL�OA <br /> CALL 1500-024•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 2595811 FOR INSPECTION <br /> � L�� <br /> Inspectic^ R�� <br /> Datelnspected G�f"`7 <br /> SEE SKETCH ATTACHED N0. 26027 <br /> If�SFGCTiON <br />
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