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6521 EVERGREEN WAY 2016-01-01 MF Import
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6521 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/12/2017 11:23:26 AM
Creation date
2/9/2017 10:42:19 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
6521
Imported From Microfiche
Yes
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TO POSTING iz-�2-�` <br />�/�/�y <br />CITY OF EVERETT <br />UTILfTIES <br />PERMIT <br />Date: OB/04/94 CMWO #: ,J�1'lJ l�/' <br />Service Addrese: 6521 EVERGRSEN WY <br />Billing Name: ROBERT SESSOUS <br />Billing Addrese: EVERETI'TH AVE SEWA 98208 <br />City, State, Zip: 338_0965 <br />Phone: <br />��- D,9r� <br />�3 (�-- �-e� <br />Legal Description: Lot 2 Blk 5 Addn: BNOERof Unite;DIV 2 <br />Frontage: <br />� .- �+ �.•� . � .� :�.al.a .9 GY S2'. Law'�v?�.�0 �%P✓� ✓OI,�G <br />WATER SERVICE <br />5.0. No. 8154 Application No. 29697 <br />Fixed: Y Deposit: Water Permit Fee: <br />Svc. Size: 2 Svc. Type: COMM � � <br />.. B /l G �/!/ � �r �/ <br />Setter Installation Date�� Y/�� z-._ � - <br />Meter No. <br />. Size� �%�=' Brand ��.JH_;_.�,`� /1✓ <br />l,eter Install ion Date % /i - ' BY �� `= ���� �"� `� r� <br />Remarks: �� ��� �� <br />USEDGFORNIRRIGATIONIZETHISMIS FOR THE DAIRYTQUEEN/4� WILL BE <br />Backflow Prevention May 8e Required <br />SEWER SERVICE <br />Permit No.: 29811 <br />Permit Type: NEW CONNECTION <br />Systems Development Fees: Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />LID No.: <br />Remarks: <br />PREVIOUS BLDG ON SITE FOR OVER 30 YRS <br />Inspected by <br />i <br />,v <br />�J �', h' � <br />�y S�p� <br />Sewer Permit Fee: <br />$0.00 <br />$0.00 <br />TOTAL: <br />$0.00 <br />SD.00 <br />TOTAL: <br />- NO SY�TEMS DEV CHARGES <br />Crand T_otal <br />�/� 3y5�9�JZ-� <br />�� <br />� <br />� <br />$1,200.00 <br />$7C.00 <br />so.cu <br />$0.00 <br />$1270.00 <br />Utilities Copy <br />• <br />a <br />0 <br />
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