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103 DORN AVE 2016-01-01 MF Import
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103 DORN AVE 2016-01-01 MF Import
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Last modified
4/7/2017 6:15:07 PM
Creation date
2/12/2017 3:31:19 AM
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Address Document
Street Name
DORN AVE
Street Number
103
Imported From Microfiche
Yes
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� <br />everett <br />e <br />City of Ewrstt <br />Sewer Application and Permit <br />No. 2348e <br />Service Address <br />Billing Address <br />City, State, Zip_ <br />DATE <br />101 osea 1►�+mw <br />9210 Swc9ewa MaS <br />n..r.ec. �a. ss�a <br />O'Ooue�s ard O�Al�s <br />Owner (Mortgagorl <br />Billing Nam <br />Connection <br />Address_ <br />Phone_ <br />8a�r <br />�53-7700 <br />��� <br />DESCRIPTION: <br />Lot 1'� Block <br />Plat �ut �! L°t 15 of �nrlT � Tracts <br />Di�. �1 <br />Unplatted Description <br />CHART N0. 1 �3`�'' y <br />��Sr�� `�/16�� <br />Utility Account No._ <br />Permit Fee ='� <br />Connection Charge�s►_ <br />2.50 <br />Total Fee <br />�� <br />r <br />Signed <br />Cusmmer <br />Sewer <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSFECTION <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />H. qazr�n <br />Approved By — <br />City EnBineer <br />E. Bwid <br />I ssu ed <br />Inspection <br />Date Inspected — <br />rvo. 23488 <br />
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