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5004 DOVER ST 2016-01-01 MF Import
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5004 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 1:17:49 PM
Creation date
2/12/2017 3:45:01 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
5004
Imported From Microfiche
Yes
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everen <br />e <br />City of Evsrett <br />Sewer Application and Permit <br />NO. Z6Z�O DATE �7 22. 1l67 <br />Service Address SOQ4 m� �• <br />Bil�ing Address 106L 19 � ss <br />City. State, 2ip �'�=�t p �� <br />Ownx (Mortgagor) aC..+ oaru� <br />Billing Name s� - <br />Connection By S� <br />Phone s�7»9o�9 <br />Utility Account No. <br />Permit Fee 30.�+�+ <br />Connection Charge(s) �...� �� �+�+--]],7k8S <br />Total Fee �0.� <br />sp�aid utilitr ty+. Ord. 1171-OS <br />vater 22t.00 <br />% ,'� <br />, % �� i ' <br />Siyned ` ` � ' ' � <br />Customer <br />DESCRIPTION: Sewer Discrict �ood II <br />Lot � Block Monthly Sewer Service <br />Plat—.—�, --= ��.�. <br />Unplatted Description_ Monthly Sewer Constr. <br />Typa Permit: p�r <br />Rema�fcs: <br />IMPORTANTI <br />CALL 1�OOd245555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-6811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Lin��43/FY( 2=37PM fN10i1M6270 3� <br />N, S, E, T�• <br />NQOIiI8i30 <br />Hl1rii 9527. W <br />Fy,p� s75.00 <br />Approved By���3• '�L <br />E� Ci ��e••4�15.W <br />Issued By ��-� <br />SE7kR t30. W <br />llil-5 l�2c14•00 <br />�i <br />Inspection By �� <br />Date Inspected 3—�`�� <br />N0. 26280 <br />INSP[CTION <br />i;' _- � li l <br />
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