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4521 FOREST DR 2016-01-01 MF Import
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4521 FOREST DR 2016-01-01 MF Import
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Last modified
2/11/2017 9:54:31 AM
Creation date
2/11/2017 9:54:23 AM
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Template:
Address Document
Street Name
FOREST DR
Street Number
4521
Imported From Microfiche
Yes
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I <br /> I <br /> CHART NO. ` � �l"- �a - � <br /> -y �— <br /> everetl ;t `-`= _' <br /> e n �,. , - <br /> ` �� <br /> 1 c�— Z� - � � � •— <br /> � � `� "� <br /> City of Everett l/� CA�I �'�� `�' <br /> , BEFORE YOU DIG <br /> Sewer Appiication and Perm�t 1$pp_��� <br /> ,., <br /> No. 24090 DATE <br /> �oi6i8� <br /> 4521 Foreat Drive Utility Account No. <br /> Service Address xone <br /> Permit Fee <br /> Billing Address <br /> Connection Chargels) <br /> City,State, Zip None <br /> Total Fee <br /> Owner (Mortgagor) <br /> Billing Name <br /> City o£ Everett <br /> Connection By Don Miller <br /> $Igf1Ed Cusromer <br /> Address <br />( Phone <br /> Sewer District <br /> ; DESCRIPTION: <br /> Lot�— Block� Monthly Sewer Service <br /> � Plat �— Monthly Sewer Constr. <br /> � Unplattad Description <br /> Trunk <br /> �� Type Permit: repai�: �ateral <br /> Rema Abutting Lot Line f� <br /> N, S, E, W <br /> . OF L'VB GTT , ��� � ,$';S' ) <br /> .�ll�� � / <br /> � ,� .. ������� A.R. Theal <br /> � ppr`"""ov�ttY <br /> C�tV EnBineM <br /> � <br /> g, Bond <br /> , <br /> 1 �, �rGni�.•,•. ..n.,c. � , . ^ Issued By�— <br /> r .� <br /> DIVISI.^•h! 1259;:�'Lt� ;=.''R r`,'. ; C�:S?Ei�ll_l.,.l <br /> � � <br /> _ r:t :l�G�i:G t, t J';I..I, Ai'i'r :)TI'�'t3 <br /> 1 � ��J C /) '�_^ � <br /> /I/ . '�� YV//� / /��� <br /> Inspection By <br /> � D�te I nspected %l�� �� <br /> No. 24090 <br /> SEE SKETCH ATTACHED <br /> CUSTONER COPY <br /> 4 <br />
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