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10821 10TH DR SE 2016-01-01 MF Import
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10821 10TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 7:29:16 AM
Creation date
4/3/2017 7:29:10 AM
Metadata
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Template:
Address Document
Street Name
10TH DR SE
Street Number
10821
Imported From Microfiche
Yes
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CHART N0.— — <br /> everett � 1� � � • <br /> ,,,, <br /> �i ,� n � .��� 7�_-_� ,- _ _ � <br /> � I <br /> Cibj of Everett - ? �' '_ = = _ =' '� <br /> ' I <br /> J <br /> _ _: I- � O _ _ !;? .�J �� <br /> ... F- - , . Yr pO `O o S-` <br /> I ^ ,. '1 � ,- w .e ,� <br /> � Sewe� Applicat�on anc� P�rr;nit T :� � �, � .. <br /> I . . - - _ '_ '� -� c.i c• � , �� . _ <br /> . rn � .- -, r.� 1r �_ <br /> r� _ r ,y t ' .:� � �. <br /> I N0. G6�57 DATE _ _ - - - - - - I <br /> � ;�i � � � <br /> --._..�_�..-�____ - <br /> Service Address - __ Utility Account No. __ __ <br /> � <br /> Billing Address_.L] 1 S •. Fv ,- r �+i i w„� Permit Fee ap_ nn i <br /> i <br /> i � <br /> City, State, Zip t?verett S9A 9azp�__ i.onnection Charge(s) 33�R,p i <br /> � <br /> Owner (Mortgagor) nc construetion _ . Total Fee_ �p np � <br /> BillingName sam� 5},>u;isl Otility Pee Ord. 1171-BS I <br /> water 179.00 I <br /> Connection By sama aoMer �71. 00 <br /> IG50.00 , i <br /> � Address Samr Signed I <br /> Customer <br /> I <br /> Phone 3�i�-F270 � <br /> DESCRIPTION: Sewer District_ Sond Ii� � <br /> Lot 26 Block '' <br /> Plat r.-+rson rark Monthly Sewer Service I <br /> Unplatted Description Monthly Sewer Constr. i <br /> Trunk_��g.�g �� <br /> Type Perrnit: Aew Connection i <br /> Lateral I <br /> � <br /> Remarks: ' <br /> Abutting Lot Line � <br /> N, S, E, W ft. i <br /> i <br /> i <br /> -- APProved By _ � <br /> i�y ngincer I, <br /> IMPORTANT! I <br /> issued By c;yF••_--:.,Ay��}es�— I <br /> CA L L 1�800-424�5555 48-HO U R S <br /> PHIOR TO DIGGING <br /> � <br /> CALL 259-R811 FOR INSPECTION i <br /> Inspection By—� ' <br /> Date I nspected_�{�'Z�� <br /> SEE SKETCH AT'I'ACHED NO. G���� <br /> I;.. , ��.:TIC,i�. <br />
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