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1018 109TH ST SE 2016-01-01 MF Import
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1018 109TH ST SE 2016-01-01 MF Import
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Last modified
4/14/2017 4:55:06 PM
Creation date
4/14/2017 4:55:01 PM
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Template:
Address Document
Street Name
109TH ST SE
Street Number
1018
Imported From Microfiche
Yes
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i <br /> � <br /> CHART Nq._ <br /> everetl <br /> � I <br /> ,� . '�i, ('��;�.,• - ^ - c c, <br /> e �� ��- . � � <br /> � <br /> � <br /> city ot Everen - � '^� � 3 :� �. 8 - 3 3 $p 8 L8 Y? <br /> �-r ^ %r .y ri C�- r L'� �•�- �� ri f?� f� � <br /> � J <br /> . ,,. .» � .: :� �.� .� r> �.. ,c <br /> - .. .. � <br /> t, � .. f, .. <br /> S�wer Appl�cation and Pe�rn�t - � -- <br /> � � " <br /> }� 'Y :[ '- � <br /> � N <br /> 265Q1 � � � � � � � �` � � �� .�� � � �� � � � <br /> N0. DATE Tahruary 17, 1�tB <br /> Service Address �IB 109th St. SS Utility Account No. <br /> Billing Address 2015 2�th St. Permit Fee 30.00 __ <br /> CitV, State, Zip �u�9�� N�► ��25 Connection Charge(s) 3]0.00 <br /> Owner (Mortgagor) ��1 ��t• Total Fee 30.00 <br /> Billing Name �N sp�cial = iltility Pea Ord. 1171-85 <br /> rtar 179.00 <br /> Connection By �" �h�er d71.00 <br /> 650.00 <br /> Address � Signed <br /> customer <br /> Phone 671-91�8 <br /> DESCRIPTION: Sewer Oistrict Bond iri <br /> Lct 2i Block <br /> Monthly Sewer Service <br /> Plat_��.a* <br /> Unpletted Description Monthly Sewer Constr. I <br /> Trunk :_ae_on <br /> Type Permit: �r omnactioe <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By �r�* f.VR�'I1 v_ Trrr.ir. <br /> Gry Enpmea <br /> IMPORTANTI <br /> Issued By s�■; wwu�e�.. _ <br /> CALL 1�BOOd24�555548-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION � <br /> Inspection By Z� <br /> o a <br /> ___ Date Inspected 5�'� <br /> SEE SKETCh ATTACHED No. 2654i <br /> !' I <br /> I <br />
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