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10827 5TH AVE SE 2016-01-01 MF Import
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10827 5TH AVE SE 2016-01-01 MF Import
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Last modified
4/3/2017 9:41:21 AM
Creation date
4/3/2017 9:41:14 AM
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Address Document
Street Name
5TH AVE SE
Street Number
10827
Imported From Microfiche
Yes
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u <br /> CHART N0. <br /> everett <br /> e , :�._an � �� <br /> SE�'T 7o c�/aJ•zT,�./G / <br /> City of Everett <br /> CW'„1�/[W �z��Pff iYuCr�Nl'a01 t-x! f <br /> Sewer A lication and Permit ' <br /> PP �,���o� <br /> i�.u� �tni.�o <br /> N0. 258�� UATE / Augllst 14 T436 ��� �4J��� <br /> .- <br /> Fi.f� (.{'� �eJr1,1'1 <br /> 1�27 _ Stf� qre SE Ucilic Account �Vo. L ;',�.'F! �i.S�) <br /> Service Address Y —F-c�;q}��, ,,. <br /> 9illing Address__»331 - 43Pd !h". N41 Permit Fee 30.00 �`A�n" 1 ����� <br /> City,State, Zip_ Sta�od �A 98292 Connection Chargels) ���0 �6L1.Oi1 <br /> k . <br /> Owner (Mortgagor) �����-Stone — Total Fee 30.00 S���i s3U.fk, <br /> �.�i� <br /> th�d, 1171-05 Natq�t 2. � � <br /> Billing Name casw Se1t�-� 00 �.�§ <br /> Connection By _._- - <br /> _ `, <br /> :�--- � ...�- <br /> Address _ Signed - ' <br /> Cusmmer <br /> Phone Q5g 9ite <br /> DESCRIPTION: Sewer District <br /> Lot_s�_ Block Monthly Sewer Service <br /> Plat_ �nst I'ra�t I7 <br /> Unplacted Description Monthly Sewer Constr. <br /> Trunk � �r� <br /> Type Pernit: perr connectlon <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> N, g� E, Vy ft. <br /> Approved By A]�eal <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By��_ <br /> CALL 1�800-424•5555 46-HOU RS <br /> PRIOR TO DIGGING <br /> CALL259E811FORINSPECTION � � <br /> Inspection By <br /> Datelnspected �d�3�� <br /> SEE SKETCH ATTACHED Np, 25HOG <br /> INSPCCTION <br />
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