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5201 15TH AVE W 2016-01-01 MF Import
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5201 15TH AVE W 2016-01-01 MF Import
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Last modified
4/4/2017 12:31:48 PM
Creation date
4/4/2017 12:31:42 PM
Metadata
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Template:
Address Document
Street Name
15TH AVE W
Street Number
5201
Imported From Microfiche
Yes
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CHART N0. <br /> everett �o R�sT�r�6 <br /> � c s -SR�-� <br /> G <br /> City of Everett — " g � �' ` '� ' ^ ; c� �� <br /> C _ �J .— �3 �—� <br /> � . . . <br /> .•. ,�^ r_ � � � c 3 � <br /> " ;° 'r - :. ,a <br /> �. = Ly .,� r. .. .� <br /> �:�. � -• •a :8 �4 .-� <br /> Sewer e4pplicatson and�P�.e��it _ T ����J � <br /> � � :J �_ 'r ',� ' � � "5 •_J ~ -.�-� J <br /> ('l •� i �� .- � > '� Y � � � <br /> 27414 �: � �� �= � ` :_ �: _ �y : .� �; <br /> N0. DATE Navembur 22, lasa <br /> Service Address � . . Utility Account No. <br /> Billing Address _ Permit Fce 3o no <br /> City, State, Zip Connection Charge�s) �n nn — <br /> � <br /> Owner (Mortgagor) Total Fee '+� �� <br /> Otility Development Fee Ozd. 1171-85 <br /> Billing Name_ rfc rater 179.00 <br /> sewer 471.00 <br /> Connection By 650.00 <br /> Address Signed <br /> Cusromcr <br /> Phone <br /> DESCRIPTION: Sewer District Pond�i <br /> Lot � B��=k Monthly Sewer Service <br /> Plat w+>>�_+�;�.— <br /> 'Jnplatted Description Monthly Sewer Constr. <br /> Trunk � nn I <br /> Type PermiL• I <br /> Lateral <br /> Remarks: (abutting Lot Line <br /> N, S, E, W ft. <br /> — Approved By <br /> Ciry �gineer i <br /> IMPORTANT! <br /> Issued By G �Haugan <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING I <br /> CALL 259-8811 FOR INSPECTION �� � <br /> Inspection By�"��"""� i <br /> Date Inspected '�l-y6 I <br /> � <br /> SEE SKETCH ATTACHED No. 27414 j <br /> I(:S°ECTIGi! � <br /> I <br />
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