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11501 19TH AVE SE 2016-01-01 MF Import
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11501 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/17/2017 8:27:49 AM
Creation date
4/2/2017 1:26:05 PM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
11501
Imported From Microfiche
Yes
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�J <br /> cm oF�r� <br /> UTILITIES <br /> PERMIT <br /> Dat�: 09/23/97 CliWo #: <br /> S�rvice Addreess 11501 19TH AVS SE _Chenge Requaet <br /> Billing Nama: RANERIS GEORGE <br /> Billing 7lddrase: 8521 HOLLY DR ' <br /> City, State, Zip: EVERETT wA 98208 <br /> Phono: 367-C649 <br /> Logal Dercriptions Lot 0 Blk 0 Addn: <br /> Frontege: No. of Unitss <br /> WATBR SSRVICE <br /> 5.0. No. 0 Application No. 0 <br /> Fixed: Depoeit: <br /> Svc. Size: Svc. Type: Water Permit Fee: $0.00 <br /> Setter Inetallation Date By <br /> Meter No. Size Brand <br /> Netar Inetallation Date By <br /> Watar On Off Locked Out By <br /> Ramark�:— — — <br /> TSG <br /> SEWER SERVICE <br /> erm o. : <br /> Permit Type: CAP OFF LID No. : <br /> Sewer Permit Fee: $10.00 <br /> Syeteme Developnent Feea: , <br /> Water $0.00 <br /> Sewer 50.00 <br /> . TOTAL: $0.00 I <br /> Hond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> f�. ,,\ <br /> Inepected by Date �^, '� <br /> n �v G ^ ���and Total: $10.00 <br /> �` GT, � v ` ��� ��'� ' "��. <br /> C � <br /> •• 6 <br /> ,�� C� �S� (� , 1 �S� �,(;� ,.••��P�oo <br /> i ��a :.••� 60� <br /> 11 ' O <br /> ' I� (1 Cp `\� �.•'�00a��'� Addraee Copy <br /> I • G o <br /> i � <br />
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