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4934 BLACK FOREST LN 2016-01-01 MF Import
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4934 BLACK FOREST LN 2016-01-01 MF Import
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Last modified
1/30/2017 7:23:32 AM
Creation date
1/30/2017 7:23:16 AM
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Template:
Address Document
Street Name
BLACK FOREST LN
Street Number
4934
Imported From Microfiche
Yes
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CHART N0. <br /> everelt ��w,— rc> c r+a��w b <br /> e M ,Z_ �_ �� <br /> � <br /> City of Evarett �� $ � uU., �:+3 $ S $ S 8 ? <br /> F' � X �4 '" � $ ''�r� � i� r� <br /> � as s! N .�+ � YA <br /> Sewer Application and Per�� � � �" <br /> " � �� � � ' � �� � � � � � <br /> NO. Z���� DATE � S. 1�9 <br /> Service Address ��� 8�� =��t �� Utility Account No. <br /> BillingAddress �925 StE 1w. iY PermitFee 3n.00 <br /> City,State, 2ip �11�. Mu Con�,ection Chargels) lIn_m <br /> Owner (Mortgagor) �� �t• Total Fee 30_00 <br /> Billing Name s� �1uty D�1opMnt 1'u Ord. 11�1—lS <br /> wt�z 179.00 <br /> Connection By s� ��+_ �71.00 <br /> � ._.. _ 4so.4n� ,.<'_. <br /> Address sw Sig�ed � <br /> customer <br /> Phone 4�6-73f5 <br /> DESCRIPTION: Sewer District � * _ <br /> Lot + Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk llp ap <br /> irr mee�ccim <br /> Lateral_ <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W n. <br /> App�Oved By irso=n y�weav <br /> City Erpineer <br /> IMPORTANT! <br /> Issued By a�r �...e.. <br /> CALL 7�00�424•5555 48-HOUflS <br /> PRIOR TO DIGGING <br /> CALL 259-6671 FOR INSPECTION <br /> Inspection By ' <br /> _ Datelnspected �'��� <br /> SEE SKETCH ATTACHED No. 27163 <br /> INSPECTION <br />
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