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11714 7TH AVE SE 2016-01-01 MF Import
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11714 7TH AVE SE 2016-01-01 MF Import
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Last modified
4/11/2017 3:40:23 PM
Creation date
4/3/2017 12:53:53 PM
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Address Document
Street Name
7TH AVE SE
Street Number
11714
Imported From Microfiche
Yes
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-.,,...-,Tr.___-�- ...-.,.�:,.�.�.:._.s's"'-_,._...�-„�..-------•.,�--� __ _...._ . .. .... ...... <br />�_ , __ , __ .._-�-....-,.-, -._.-.. , r"�. ` � _ _' <br />SiDE SEWER PERMIT <br />p q � p SILVER LAKE VIiATER DISTRICT ��� j- 5 <br />r �o - iaa�w si. s.�. <br />MAY 141990 ���u.w..nx�o�sa�oe <br />t-.� aa��� <br />SI�vER LAKE WNiER lllSi. <br />The undersigned Owner hereby makes applicotion for a sewer connection to sewer rrfoiru of the Dlstrlet; <br />for property described os follows: <br />Lec�al Description: <br />� �' ', i `_ t <br />, '�. ` '` <br />� � <br />The Owner hereby ogrees to be bound bY all <br />= rules and regulations, now in force or os �+ere- <br />inaffer amended, of the Sewer District. <br />k i - _ .1�7 ' <br />:.....••-/�ir:: i.?. .: :.'..Sc:� ::-: :- :.................... <br />Address: r Owners Signature <br />� l I�'� .; I "�,. U...t :..... J� <br />-�-�--��--•�'-----�� ........................'-------•-•- �-•••--... .............._ <br />, . .. <br />r � . . , :-, <br />, ' ' � '� / � ... 'Y . 1 � � <br />. , � S. .t. , �: ��, / . 1 J'.:" �' . ."'""......._. <br />...........:....�..........: �....:..........:.:........'""""""'... J....... <br />�,. ,."�. �- ���>�.D ('-'--'�' '" �'.�' I � �S.G 1 <br />J �� � _ <br />�051' .....""...... <br />""' ............. .................."'......... _..... __.,...............'"'"" <br />i .._ . <br />� � � � ��_!Ll 1�19 4 �V3�� ........"""' <br />1 <br />i <br />Owner's Mailing Address <br />Billing Address <br />Contractoc......................••-----.._...------...._..----........_..........----__....---License No.......--••-.....•_....---.._..............._..•••••••••- <br />After instnllation, the system shali be inspected by a representotive of the Oistrlct before cwerirq. The prop- <br />erty awner shall be responsible for all operations, maintenance ond repair of ihe side sewer. i <br />: � `_�� <br />. � _ <br />Fermit issued b ���:'.��i..._).:��� •••......... ..................----Uate:..--J•••-..r...�.....�......_•-•_•-• <br />. . <br />y-•.........._ ...........••.--••- ........ <br />
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