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3502 BROADWAY 2016-01-01 MF Import
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3502 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 6:09:44 AM
Creation date
1/24/2017 6:08:41 AM
Metadata
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Template:
Address Document
Street Name
BROADWAY
Street Number
3502
Imported From Microfiche
Yes
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evered _� • <br /> � � ,� _ '�� <br /> n"�, '%-' ' <br /> � J q�:l C�-D�`- �. •,,: <br /> '� �j� 7 s! �,.� <br /> ���� <br /> City of Everett �� -�,�'i ��� 3 2'Z"r 4 <br /> Engineering Oepartment _ -- � <br /> Sewer Applicatio� and Permit <br /> , �, �, ✓ � <br /> NO. 1 U l, i- DATE <br /> Service Address_�O� � .J S �� Utility Account No. <br /> Billing Address ' Connection Permit Fee <br /> � <br /> City, State, Zip `n�• '� Connection Fee <br /> . . � <br /> Owner (Mortgagor) � • Total Fee <br /> Billing Name � `'.` ' - <br /> Connection By <br /> �� Si ned - ` <br /> AddtC55 � . - 9 Customer � <br /> Phone - <br /> DESCRIPTION: <br /> Lot _ <br /> Block _ ,., <br /> Division or Addition_ ' ' __ <br /> Sewer District <br /> �/ - Monthly Sewer Service ' — <br /> Remarks: ��Qo�n C�TC/7 <br /> �4onthly Sewer Constr. <br /> G ., -� P� ax-� <br /> _.e.�.�u, � � w e.��, ���,;.. <br /> C'..{,�-� 3��' S�` - �r �"CC C �� � Approved By '•> . , <br /> p " �� CitV Engineer � <br /> C�,i7`�GlJ e-ati � ..[+-'�-e��, - . <br /> Issued By ' <br /> � C,c,..�....^ � �e.. �1c-�e' Ga <br /> E'n�.�.�-1�L... ���{ �� U G .�^-`t"-, � ,�d� Connection By • ' - <br /> �,,p % �� fl "7� £ Ya u-,-��aia._ � �. �.�- -- <br /> /,��� _ J Inspection By <br /> -�- Q <br /> , y Date Inspected_/ �/��z' <br /> � �E C' ., [9� <br /> ��� - <br /> Ti1 <br /> SEE SKETCH ATTACHED ID:SPECTION <br /> ����J /��.. .� . <br /> ..:� <br /> i <br />� <br />
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