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204 DORN AVE 2016-01-01 MF Import
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204 DORN AVE 2016-01-01 MF Import
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Last modified
4/27/2017 10:45:10 AM
Creation date
2/12/2017 3:35:11 AM
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Template:
Address Document
Street Name
DORN AVE
Street Number
204
Imported From Microfiche
Yes
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� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Det�t 11/OfiJ96 cMWo #: //U � <br />S�rvice Addreses 264 DORN AVE (A68) <br />Silling Names DOARAH LOREN <br />Billin9 Addroee: 2820 LINCOLN WY fH <br />City, State, Zipz LYNNWOOD WA 98036 <br />Phone: 787-F,700 <br />�'0 POSTI�,,;'� � e �� <br />_Change <br />L�gal Deecriptions Lot 1 Blk 0 Addn: SHORT PLAT 27-95 <br />Frontage: No. of Unite: 2 <br />WATER SERVICE � <br />S.O. No. 9182 Application No. 30725 <br />Fixeds Y Depoeits <br />Svc. Sizet 1 Svc. Type: DUP <br />setter inqt �� p�te Hy� <br />Meter No.�i 6 Size �� �/ Hrand �� <br />Meter Inetallation Date 7 By <br />Water On off Locked Ut� By <br />Remarke:— �`� A �-� <br />.i yaZ <br />Tsp. � '��� 4'� <br />SEWEIt SERVICE <br />rm .: <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Feee: <br />Water <br />Sewer <br />Hond III Gonnection Charge: <br />Trunk <br />Lateral <br />Remarke: <br />Inepected by <br />Water Permit Fee: <br />.�d-�-/L�!° <br />Sewer Permit Fee: <br />$701.00 <br />51,18;.00 <br />TOTAL: <br />$330.00 <br />$395.00 <br />TOTl\L: <br />Date <br />$750.00 <br />$70.00 <br />S1,884.00 <br />S725.00 <br />�� � � � D Grand Total: 53429.00 <br />V <br />1 <br />-� i,�o�.� o a »9s <br />.................................... <br />CITY Of- EVCRCTT Utilitiee Copy <br />Buildin� Divi�io� <br />
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