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9210 EVERGREEN WAY 2018-01-02 MF Import
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EVERGREEN WAY
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9210
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9210 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
2/18/2021 11:15:50 AM
Creation date
2/10/2017 2:10:21 PM
Metadata
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
9210
Imported From Microfiche
Yes
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,..ir•: - �i� <br />e�ieret[ <br />e <br />City of Everett <br />Engineering Oepartme�t <br />�''�c� � �� <br />n h� <br />I � /� ���/ <br />� ��C / <br />Sew��• Application and Permit <br />rvo.1.0 3 5 4 DATE "' '" �'-'-�• <br />l,L /O <br />Service Address � -- �- � � :- ' Utllity Account No.. <br />Billing Address Connection Permit F <br />City, State, Zip %-�"�� / '� :'� -- i Connection Fee <br />� — <br />Owner (Mortgagor�__' < <- :�: ` ) Total Fee <br />Billing Mame <br />Connection By <br />Aadress � r � Signed <br />Cusromer <br />Phone - ;:.:�- � .- - r <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />f'"/ <br />L <br />Sewer District <br />, ,. . <br />Vlonthly Sewer Service �` :'<-- <br />Vlonthly Sewer Constr. '' r <br />SEE SKETCH ATTACHED <br />I� 1SPECTIO�! <br />approved By <br />City Engincer <br />ssued B <br />;onnec.<ion By <br />nspec[ion By�f�«c�� <br />�ate I nspected / �Z"7� �3 <br />
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