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2114 5TH ST 2016-01-01 MF Import
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2114 5TH ST 2016-01-01 MF Import
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Last modified
4/3/2017 11:15:47 AM
Creation date
4/3/2017 11:15:39 AM
Metadata
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Template:
Address Document
Street Name
5TH ST
Street Number
2114
Imported From Microfiche
Yes
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II:HART NO. <br /> evcvett SC/JT�v c�.��;,..� <br /> -�' ����' <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 25815 UATE Aun�st 27. 19R6 _ '' <br /> Sen=ice Address 2114 - 5!h $t iltility Account No. <br /> Billing Address 10512 - 19t1i Ave SE Permit Fee_. 30 00 <br /> !��i'%�'/8� E;::i4Fli'f OOfkiil171 t C'C K► <br /> City,State, Zip Erentt YA 99204 Connection Charge(s) 1'(ort — <br /> , <br /> k11641u <br /> Owner (Mortgagor) Pae-Mest C�nstructlon i Devebo�eer►tfotal Fee �� <br /> Speci�t 'Jt� Fee ��11171-� 85 <br /> Billing Name SNe Y,atef' ' 179 <br /> ivI:C11 � C�(1 <br /> Sewer F111 l'.H 471� �.W <br /> Connw:tion By G S'�tai Sl,`A <br /> Signed L;5FCli 31;.[�l <br /> Address_. �� _ . <br /> tsa�rrirs <br /> Phone_�371�6F ��� g,��p.pp <br /> � <br /> DESCRIPTION: SewerDistrict_��� .��'11�,.�-�— <br /> ILoY �1;g� Block ��rnth!y Sevw?r Serv�1��i-' sh�G:IX� <br /> Plat ""Cf'--aTb$`.5(1� ' <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: NM, ,, <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By �7 Th ■1 <br /> Ciry Engineer <br /> IMPORTANTi <br /> issued By� S�� Crann�e _ _ <br /> CALL 1-500-024-5555 48•FiOURS <br /> PRIOR TO DIGGING <br /> CALL 259SBS1 FOR INSPECTION � j��—_ <br /> Inspection B <br /> Date I nspected � �L " � 7 <br /> SEE SKETCH ATTACHED N0. ��$�� <br /> INSPECTIC�� <br />
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