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1005 PINE ST 2016-01-01 MF Import
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1005 PINE ST 2016-01-01 MF Import
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Last modified
2/24/2017 1:04:51 PM
Creation date
2/24/2017 1:04:44 PM
Metadata
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Template:
Address Document
Street Name
PINE ST
Street Number
1005
Imported From Microfiche
Yes
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�, <br /> N—�'L �`a�—� 7 CHART NO.Cy�--.�]'-J-- <br /> everrtt n _�J <br /> � �—��oc� <br /> �IS/�s <br /> aa. <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 2317T DATE �v//� /� 9 - <br /> Service Address��n � =� �� Utility Account No. � <br /> Billing Address � ����---- Permit Fee �d ' <br /> City,State, Zip Connection Charge(s) <br /> 3 `'� <br /> Owner (Mortgagor) otal Fee ` <br /> , <br /> - Billing Name <br /> Co�nection BY "et �""' Q� � <br /> til- Signed <br /> , , ' r:� � Address �r__- cuscoma� <br /> Phone �`�� �� ��+ <br /> DESCRIPTION: Sewer District <br /> ` ' Lot �—� Btock / 9 3 � � <br /> �.. ..� Monthly Sewer Service ; <br /> Plat ,�a,�r:.:��� ��— ` <br /> 4 ' i Unplatted Description Monthly Sewer Constr. � <br /> 3 i <br /> S Trunk <br /> � Type Permit: — : <br /> Lateral ' <br /> i <br /> 4 <br /> Remarks: Abutting Lot Line <br /> ' ft. � <br /> N, S, E, W ;: � <br /> , <br /> i <br /> 1 O ! <br /> `G o J E�i APProved BY �� _�; <br /> c�tv e�o����. <br /> luued By —� <br /> Inspection By ��'�" � � <br /> Date I nspected � �r^ � <br /> SEE SKETCH ATTACHED N�� 231T7 <br /> INSPECTION <br />
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