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5124 15TH AVE W 2016-01-01 MF Import
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5124 15TH AVE W 2016-01-01 MF Import
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Last modified
4/4/2017 12:28:48 PM
Creation date
4/4/2017 12:28:40 PM
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Template:
Address Document
Street Name
15TH AVE W
Street Number
5124
Imported From Microfiche
Yes
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CHART NO. <br /> everett <br /> �� , <br /> � <br /> City of Everett S��i To Ctr�i�r�,��,_y <br /> 3/Z�/�3'' <br /> Sewer Applicatia� cand PermWt <br /> N0. ���J 'J�z DATE �.,_.' � . ���Ls=--- <br /> � <br /> Service Address 7 ��� �'.����_' ""_ Utility Account No. <br /> L � ��j�� � �C`: <br /> Billing Address � � � ` � �T'�'"-�ermit Fee� �� C <br /> City,State, Zip //�� ����' + j�' + �� �� ��, ConnectionCharge�s)��1C3�� � <br /> �wner (Mortgagor) � � ���— Total Fee --�-�� C�� � _� <br /> � l �/ %/ ' ✓ i <br /> Billing Name � - <br /> � <br /> Connection By <br /> !\ddress Signed �- <br /> Customer <br /> Phon� / � � <br /> DESCRIPT N: Sewer District =� <br /> Lot �lock �� ,� Monthly Sewer Service <br /> Plat - '�d' <br /> Unplatted Description Monthly Sewer Constr. <br /> �/� / — Trunk <br />, Type Permit: K„� <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S, E, W ft. <br /> r <br /> Approved By � <br /> Ciry Engineer <br /> IiJIPORTANT! I <br /> Issued By <br /> CALL 1-500-024-5555 48-HOURS ' <br /> PRIOR TO DIGGING �. <br /> CALL 259-8611 FOR INSPECTION ��� � _ -- <br /> Inspec[ion By��.�I <br /> Date I nspected v -/� '�� <br /> SEE SKETCH ATTACHED NQ. 25552 <br />� I iv:;PFCTf Of�� <br /> I <br />
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