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12404 19TH AVE SE 2016-01-01 MF Import
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12404 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 2:07:00 PM
Creation date
4/2/2017 2:06:53 PM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
12404
Imported From Microfiche
Yes
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cmr°F�R�rr TO POSTL . ` MAR 2 0 200u � <br /> UTILITIES <br /> PERMIT <br /> , <br /> Date: 05/O1/98 ctaWO �: <br /> Service Addrese: 12404/06 19TH AVE SE _Change Requeet <br /> Billinq Name: VRZELIt?3 EUGENE � <br /> Billin4 Addreee: 11128 24TH DR SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-2514 <br /> Legal Deacription: Lot U Blk 0 Addn: ' <br /> Frontages No, of Unite: 2 <br /> WATER SERVICE <br /> S.O. No. 9697 Application No. 31240 <br /> Fixed: Y Deposit: <br /> Svc. Size: 1" Svc. Type: DUP Water Permit Fee: $130.00 <br /> Setter InstalLation Date� By^ <br /> Meter No. Size Brand <br /> Meter Inetallation Date Hy <br /> Water On Off Locked Out By <br /> Remarks:— � — <br /> TSG <br /> SEWER SERVTCE <br /> ermi o.: <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: 570.00 <br /> Syeteme Development Feee: <br /> Water $701.00 <br /> Sewer $1,183.00 <br /> TOTAL: $1,884.00 <br /> Bond III Connection Cliarge: <br /> Trunk $330.00 <br /> Laterdl $0.00 <br /> TOTAL: $330.00 <br /> Remarks: <br /> ���/1 /��� �/ <br /> Inspected by �.�p('/G� (.�-�f=(��^-� Date_ ��l'l �� <br /> Grand Total: 52414.00 <br /> � C r-.� `�� � I� <br /> 1 L/ / <br /> r�nr e^_ �?98 `—�� Public Works Copy <br /> - . . ._ . _�.-.;= -- <br /> - .. ��,��:___ � <br />
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