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2001 VIRGINIA AVE 2016-01-01 MF Import
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2001
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2001 VIRGINIA AVE 2016-01-01 MF Import
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Last modified
4/14/2017 6:30:19 AM
Creation date
3/8/2017 12:13:33 PM
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Template:
Address Document
Street Name
VIRGINIA AVE
Street Number
2001
Imported From Microfiche
Yes
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�: Cn" H� <br />pl t�t <br />�o�x <br />�x� <br />yzr�i <br />Ky� <br />�NH <br />�io� <br />O H ��+ <br />� C�1 b <br />47 � C] <br />9H� <br />4 <br />t�y HH <br />ON <br />N <br />C� C7 C� <br />��M <br />yOV <br />f� <br />I ��.. <br />�� <br />� e�•�cctt <br />i � <br />� City o( Evaratt <br />Sewer ��►.pplicatio►� �ar�� P�rmit <br />N0. 270V!3 DATE �ecumber 7. 19i':; .— <br />Service Address__�nm vs�g�.,+. Utilitv Account <br />Billing Address_ ��oc ra..zr a�• Permi[ Fee 30.00 _ <br />City, State, Zip Fb r..rt, va nn�m i.cn�ection Chargels) i�a <br />Owner (Mor[sagor) T� r r. r To[al Fec 30.00 <br />i <br />Billing Name_ <br />I <br />� Connecti<��n By_ �+�� <br />I <br />iAddr^ss c�..� <br />� Phone �gg_�5;�.— — <br />i DESCRiP?ION <br />iLot Z ►_� �__._ Block—�d� <br />Plat.---C°+�1;�1 :�i>> a��� <br />� Unplatted Description <br />� Typc Permit: t�taM p�nnection <br />� <br />Remarks: <br />IA^^ORTANT! <br />CALL 1500�424�5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKE7��'� P.TTACHED <br />Signed �� ' � � <br />Customcr <br />C".. , <br />Sewer <br />Monthly Sewer <br />Momhly Sewer Constr. <br />i;'ll�/(�i; }ii:'i�.i'dt ilin)l!f�,,:; �. ;:! <br />idAslZiUtl? <br />Lateral SFIJfP, 3.SO.tN1 <br />liOIM.G':1�50 <br />Abutting Lot Line�'�-�'r ��J,`� <br />N S E Wtti l:l; 4�i5.tp� ft. <br />r..� � tc}t. <br />l�Ill CH ?b.,'i <br />�; �si.H ',:0 <br />I- .dy'�i '. l';.iiG <br />Approved By ���A�.�'AEu q: ��L <br />�. y6n9�oee�:ii�,:_r <br />Issued By suey ttauqcr, <br />Inspection By - "�� � � <br />Date Inspected �'r% <br />No. 27G03 <br />
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