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4930 BLACK FOREST LN 2016-01-01 MF Import
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4930 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:22:40 AM
Creation date
1/30/2017 7:22:15 AM
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Template:
Address Document
Street Name
BLACK FOREST LN
Street Number
4930
Imported From Microfiche
Yes
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,, � <br /> � <br /> ��� <br /> �H W CHART NO._ _ <br /> H i everett <br /> ��� i � <br /> ��[� e � <br /> ��p t+V Ciry of Everett i � � '�.'�' � '� � � � '� � <br /> pNd c; � `? 'u «; �' � � � : v � a <br /> �: ..r '. .'. . <br /> ( � �'� <br /> ��8 � � • � � <br /> �� ,. <br /> �` " I Sewer Application and R�nit = - � � <br /> y � � � " �� <br /> xH <br /> ��py~y 27162 ��; � :�� � y ��� � �r. � n �v ,.. <br /> A� <br /> �"� NO. DATE uav 4, 1989 <br /> ��W { <br /> � Service Address 6930 slack iorost Lano Utility Account No. <br /> HOa <br /> Billing Address 2Z928 `'th a�• 88 Permit Fee ]0-Oo <br /> City,State, Zip �noiuo, eiE Connection Chargels) 110_00 <br /> I <br /> � Owner (Mortgagor) �Atnre C�st. Total Fee 30.00 �� <br /> ! S� Sldc Utility Developmeat Fae Ord. 1171-&5 �I <br /> � Billing Name ratar 179.00 <br /> � � aewz 4T1.0Q <br /> Connection By �e . <br /> , , :f.b50.00 � <br /> __ ; I <br /> Address S� Signed " � � <br /> Customer <br /> �:���` =:� i Phone d66-7395 <br /> C—' I DESCRIPTION: Sewer District sen� t <br /> 1 Lot n Block <br /> � Plat Monthly Sewer Service <br /> � Unplatted Description _Monthly Sewer Constr. I <br /> �i �; Trunk nn,�p <br /> Type Permit: p� ��� <br /> � � ��' __ Lateral <br /> ��� Remarks: <br /> Abutting Lot Line I <br /> _ N, S, E, W ft. <br /> � .� <br /> �_, <br /> �� <br /> . Approved BY srspQn r �rxrar. <br /> '. C�:y EnOineer <br /> � IMPORTANT! I <br /> � Issued By a�p w.....e.. ' <br /> ��� CAL L 1-800-024-5555 48-HOU RS � <br /> PRIOR TO DIGGING i <br /> CALL259�811FORINSPECTION i <br /> Inspection By �'4� �' <br /> i <br /> Date I nspected �� - �--�P _ � <br /> SEE SKETCH ATTACHED N0. 27162 I <br /> I �h,�-,�-c-r i r�,.� �I <br />
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