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5819 12TH AVE W 2016-01-01 MF Import
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5819 12TH AVE W 2016-01-01 MF Import
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Last modified
4/4/2017 7:59:44 AM
Creation date
4/4/2017 7:59:34 AM
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Template:
Address Document
Street Name
12TH AVE W
Street Number
5819
Imported From Microfiche
Yes
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' GTYOFEVERETf �(� �OSIING `��� <br /> UTILITIES <br /> F�ERMIT <br /> Date: 02/03/95 CMWO 8: <br /> Change Requee <br /> Service Addresa: 5819 12TH AVE W — , <br /> Billing Name: TENNYSON HOMES ItiC <br /> Billing Addrese: 815 6TH ST S WA 98033 <br /> City, State, Zip: KIRKLAND <br /> Phene: 827-9060 <br /> Legal Description: Lot 62 Blk 0 Add�: MNORiof Unite;GAADENS <br /> Frontage: <br /> WATER SERVICE <br /> 5.0. No. 8320 Application No. Z9863 <br /> Fixed: Y Depoait: Water Permit Fee: $105.00 <br /> Svc. Size: 3/4 Svc. Type: RES <br /> ' Setter Installation Date BY . <br /> � Size Brand <br /> Meter t7o. <br /> Meter Installation Date�_ By <br /> Water On Off_ Lockad Out_ BY <br /> Remarke:—' <br /> TSG — <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: 570.00 <br /> � Systeme Development Feea� Sewer $3$0.00 <br /> TOTAL: $362.00 <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 $0.00 <br /> TOTAL: <br /> Remarks: <br /> � <br /> ' j , c J�, <br /> T_napected by � . "'J F ��«y�� Date�' � <br /> �Grand Total: 5537.00 <br /> \ <br /> � s�� � <br /> C> � <br /> o�� <br /> FF <br /> (S �� �g95 public Works copy <br /> ....G�y 'pP GJ�Q��} <br /> ���,�c1�nn n <br /> — ---- -- �---'.■rltarywr.r�.i <br />
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