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4906 BLACK FOREST LN 2016-01-01 MF Import
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4906 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:14:52 AM
Creation date
1/30/2017 7:14:31 AM
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Template:
Address Document
Street Name
BLACK FOREST LN
Street Number
4906
Imported From Microfiche
Yes
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CHART N0. <br /> �evereH lk�. >. •\ ' \<�', t''<�`r:j �A-t, <br /> e < <� -� -� �� <br /> , <br /> i <br /> City of Evxett <br /> Sewer A lication and Permit � <br /> PP � <br /> � <br /> N0. 27051 DATE Jaatt�sw i9. 1989 � <br /> � <br /> Service Addreu �a.�c ,__. �____ ___ Utility Account No. <br /> BillingAddress PermitFee *�+-� �' <br /> City,SWte, Zip Connection Chargels) ve_pp � <br /> Owner (Mortgagor�_ Total Fee � � <br /> OtllitY Dswlop�nt Tu OtiM. 1171-CS � <br /> Billing Name �_ �� �yy� 22�.00 � <br /> N� � St9.00 <br /> Connection By 81�.00 <br /> � <br /> Address Signed^ '' " '�_ 9 <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District yo�= <br /> Lot Block <br /> Plat Monthly Sewer Serai/cil89 19 aS3Wf f700R114id? C[tt <br /> Unplatted Description Monthly Sewer Constr. / <br /> �1��7 <br /> Trunk Bf.—_��e � <br /> Type Permit: p,� �� <br /> Lateral lECH S?^c.W � <br /> Remarks: � � $��� � <br /> Abutting Lot Line� � �i5.OD <br /> N, S, E, W�' �^� ft. <br /> 7 <br /> YATER �f60.W � <br /> ptle�r.'?'051 � <br /> 5E61EP i3Q.U� � <br /> Approved By � I �i1p.W <br /> �� � <br /> CMEi:K ti7q9.[12 a <br /> IMPORTANTI i <br /> Issued By e-- - <br /> � CALL 1$00424-555548•HOURS ' <br /> PRIOR TO Dlt'iGING � <br /> CALL 259�86i4 FOR INSPECTION <br /> Inspection By � <br /> Date Inspected �- r''F� <br /> SEE SKETCH ATTACHED NO. 27OS1 <br /> INSPFCTION <br />
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