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5410 WEST DR 2016-01-01 MF Import
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5410 WEST DR 2016-01-01 MF Import
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Last modified
3/27/2017 3:57:31 PM
Creation date
3/27/2017 3:57:14 PM
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Template:
Address Document
Street Name
WEST DR
Street Number
5410
Imported From Microfiche
Yes
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CHART NO. I' I <br /> � everett � <br /> , <br /> � � = � <br /> 5 C'i1 ' _ _ _ _ _ <br /> ��x City ot Everett =• - TO POSTING__3�i� R z <br /> ayv� � - .. : <br /> � �� ; Sewer Application and �Per.mit <br /> y Cn � _. .: - . - . , <br /> � v�H N0. 2H? p � - DATE- R - ,_q Y - - - - <br /> y zr i <br /> i <br /> � y C I Service Address 541n rraet nrive Utility Account No. � <br /> M [�s70 I R7�o nnorrtv r.n..Q � � <br /> ny n � BillingAdd�ess � <br /> z y�j City, State,Zip rvdr.rr sr.� 4q+�z Permit Fee � 30.oo �xkk � <br /> � F""� II Owner ^heron E. L+o�+arx Connection Charge <br /> � �'H I <br /> d❑y � Connection by rnret�rtapl r.,,.ar„��r+�., _ Trunk $ <br /> � y y Address 111r �7r.Il �* cr _ Lateral $— <br /> H O t/i ---- <br /> 'FvexY!tt 992nA _ Total Connection Charge $_ — <br /> �, Fhone 337-0727 Utiliry Development Fee <br /> � Legal Description: Water $ 22a.on _ <br /> Lot Sewer $ 5?n n0 ----- , <br /> ��=� Btock Total Development Fee $ A11 0o ( <br /> Plat <br /> 1 � Unplatled Description: Sewer Bond District �rA <br /> _ Abulting Lot Line <br /> N� S, E,W ft. � <br /> ! s � <br /> Type of Permit � ��n•�'icri Approved 8y 1 <br /> � <br /> (w � Remarks Issued By—�� hs <br /> –^��. <br /> Cus�omer Signature <br /> E~ �� IMPORTANT! <br /> `� CALL 1-800-424-5555 48-HOURS <br /> "`�� PRIOR TO DIGGING <br /> Inspection ey L'-'i1" '—'�� <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspec�ed _1� ' 4 � <br /> SEE SKETCH ATTACHED No. 28383 <br /> � <br /> � <br /> � IidSPCGlii�iJ <br />
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