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216 OLYMPIC BLVD 2018-01-01 MF Import
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216 OLYMPIC BLVD 2018-01-01 MF Import
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Last modified
12/6/2018 2:05:06 PM
Creation date
2/25/2017 2:41:39 AM
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Template:
Address Document
Street Name
OLYMPIC BLVD
Street Number
216
Imported From Microfiche
Yes
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evereiE <br />� ' <br />City of Everott <br />Sewer Application and Permit <br />No. 25384 DATE ,�°_C I �fr �'�/� <br />Service Address ��� � <br />Billing Address - �// �r�/��✓� � <br />CitY. SWte, 2ip��nl�iMd /�A 9 �� <br />Owner (Mortgagor) �9 �� P �VeKfDYc <br />Billing Name �%'+� � <br />Cunnection Hy � <br />CHART <br />�Ol.� � .�,=.oT Tn /�::�,✓ <br />.�� �fre�r.�G /-is=�6 <br />Utility Account No. <br />Permit Fee_ -�� � <br />Connection Charge�s) <br />Total Fee_ < 0' � <br />Signed <br />customer <br />DESCRIPTION: Sewer District <br />Lot B��k Monthly Sewer Service <br />Plat _ <br />Unpiatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL7�OOd24355548•HOURS <br />PRIOR TO DIGGING <br />CALL 259$811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry EnB�neer <br />� ;, � � <br />Issued By ` ' <br />Inspection B��'�`'��"�" <br />Date Inspected ��'3���r — <br />No. 25384 <br />I fd ;PL=CTI ON <br />� <br />� <br />
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