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� � � � � ����1 <br /> Retum AdCress <br /> Paul McKee, Engineering/ <br /> Public Services Dept <br /> City of Everett <br /> 3200 Cedar St <br /> Everett WA 98201 � <br /> Please print or type information <br /> Document Title(s)or transac�ons contained thereir): <br /> �, Hold Harmless Aqreement for Sewer Connection Variance <br /> 2. .' <br /> 3: <br /> 4. <br /> Grantor(s) jLas;name firsi, then firsc name ard initials� <br /> �• Coombs, Diane J. <br /> 2. <br /> 3. <br /> a <br /> ['j Additiansl names on page_of Cccument. <br /> Grantee(s) (Las;name Arst, chen first n�me and initials) <br /> �� Ci':p of Everett <br /> 2. <br /> 3. <br /> 4. <br /> p AdCiGonal names on page_af dccument. <br /> Legal description (ahbreviated: i.e. lot, bicck, plat or sec�on, township, range, qtr./qtr.) <br /> Lots 15 & 16,Block 741, Everett Land Co S lst Add <br /> Lots 13 s 14, Block 741, Everett Land Co S lst Add <br /> ACdiNonal Iegai is on pag= af document <br /> Reference Number(s) of Oocuments assigned or released: <br /> ❑ Additional numhers on page_of dccument. <br /> Assessar's Properry Tax Parcel/Accoun!Number <br /> 4390-741-015-0002 <br /> 4390-741-013-0004 <br /> ❑ Prcper�j Tax Parcel ID is not yet assigned ' <br /> ❑ AddiUonai parczl numbers on pag=_of dccurent <br /> The AuCitor/Recorder will rely on the information provided on the form. The staif wiil nat read �he <br /> document to veri�/ the accurecy or comple!eness of the indexing infornatien. <br />