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9212 1ST DR SE 2016-01-01 MF Import
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9212 1ST DR SE 2016-01-01 MF Import
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Last modified
3/7/2017 7:33:04 PM
Creation date
3/7/2017 7:32:57 PM
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Template:
Address Document
Street Name
1ST DR SE
Street Number
9212
Imported From Microfiche
Yes
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' '- CHART N0. <br /> � everetl <br /> e �-..,T ;,7 �,�s,�-..�� ,� ;s �h <br /> � � <br /> City of Everett <br /> Sewer Application and Permit �"�''�° `�`°`�` °�'"°�4z z"� <br /> ������ <br /> -f R SRCI� t�F.50 <br /> NO. 256 ( 2 '�E. 1f96 f. SFt'H 415.0[t <br /> F'Lf[', 320.U0 <br /> Service Address 92u ' �t � � Utility Account No. �u� gu.�ll <br /> D(i�.M1tY SiV.W <br /> BillingAddress 1�29 �Y _ PermitFee ��« <br /> 5E1k12 E30.f10 <br /> City,State, Zip ��Lt� 1G 9t12�1 Connection Charge(s) ��� 4130.fN1 <br /> tiUlNiU�O/iU <br /> Owner (Mortgagor) �� ��t7 Total Fee �N1�� =Nl•�1U <br /> �lll:fl: ;i64.W <br /> Billing Name � <br /> Connection By J � D eailder� <br /> Address 1'�� �a7 �°�t Signed <br /> Cuslomer <br /> Phone �2'1166 <br /> DESCRIPTION: Se�ver District �� ==I <br /> Lot 71 Block <br /> Plat— Smzidw Di� III Monthly SeH�er Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: lYv oonn�ctim Trunk <br /> Lateral <br /> Remarks: <br /> Ab...ting Lot Line <br /> N, S, E, W ft. <br /> Approved By u'FRID I?. THID1I' <br /> Ciry Enqiaeer <br /> IMPORTANT! <br /> Issued By M+rq+ret F. NCL�od <br /> CALL 1-800-024•5555 48-HOURS <br /> �RIOR TO DIGGING <br /> CALL259S811 FORINSPECTION ^ ` <br /> /i <br /> Ir-�ection By �y <br /> Datelnspected �/�6 <br /> SEE SKETCH ATTACHED N0. 2567Z <br /> iNSPECTION <br />
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