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216 DORN AVE 2016-01-01 MF Import
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216 DORN AVE 2016-01-01 MF Import
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Last modified
4/27/2017 1:36:11 PM
Creation date
2/12/2017 3:36:39 AM
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Template:
Address Document
Street Name
DORN AVE
Street Number
216
Imported From Microfiche
Yes
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� <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: OS/29/96 CMWO �`: � <br />Service Addreae: 216 DORN AVE <br />Billing Name: DORRAH LOREN <br />Billing Addreee: 28208 LINCOLN WY <br />City, State, Zip: LYNNWooD WA 98036 <br />Phone: 787-6200 <br />L 1 <br />,,,�.. � -S .-c� <br />��' :jf�� � __ <br />_Chang�� „ , coi; <br />ega Description: Lot 4 Blk 0 Addn: SHORT FLAT 27-95 <br />Frontage: No, of Unite: 2 <br />WATER SERVICE <br />S.O. No. 8934 Application No <br />Fixed: �Y Depoeit: <br />Svc. Size: 1 Svc. Type: MA <br />Setter inatallation Date gy_ <br />Meter No. Size Bra <br />Meter Inetallation Date gy <br />Water On Off Locked Out <br />Remarke:— — — <br />TSG <br />By <br />erm o.: SEWER SERVICE <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Feee: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarke: <br />30477 <br />Water Permit Fee: <br />Sewer Permit Fee: <br />5701.00 <br />$1,183.00 <br />TOTAL: <br />$330.00 <br />$395.00 <br />TOTAL: <br />Inapected bY�� Date � /%/Q� <br />1 -� <br />5750.00 <br />$70.00 <br />$1,884.00 <br />$725.00 <br />Grand Total: $3429.00 <br />���'�[D <br />� 01996 <br />M AY 3 <br />Public Worke Copy <br />. . ... <br />. ........ ......... . . <br />CITY OF Div s opT <br />puildin� <br />
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