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422 109TH ST SE 2016-01-01 MF Import
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422 109TH ST SE 2016-01-01 MF Import
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Last modified
4/14/2017 5:02:58 PM
Creation date
4/14/2017 5:02:54 PM
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Template:
Address Document
Street Name
109TH ST SE
Street Number
422
Imported From Microfiche
Yes
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CHART NO.___ <br /> everett • - <br /> � <br /> City of Everett <br /> �� ?�; 7p , f•i=i �- il;'f :l-/Q-F 6 <br /> Sewer Appiication and Permit <br /> NO. ��v10 DATE Aumist 25, 1986 �p�:.°'tk5 4�7:F'M OUI�ItIti,S tttt <br /> . / <br /> {K7001�Di? <br /> Service Address �22 - 109th St. SE Utility Account No..�_ ��9`'� _ <br /> Billing Address 2312 - 136th PL SY Permit Fee 9�_��•�� L�d•� <br /> -��'.,�fT�#7��J <br /> City,Stata, Zip_J,ynmrmd rA 98�37 Connection Charge�s►��a��:� <br /> Owner (Mortgagor) i�anw l 4es _ Total Fee N��171 _ <br /> Speclal Ut111 'p,��� 1-R5 <br /> Billing Name _ MsttlP � �i1'?' x���,�u <br /> SEMQ1' �� 08 <br /> Connection By ��w•�p� <br /> 11 �i�', f650.(H� <br /> Address Signed �:NL�71 �.159''.lM� <br /> customer <br /> Phone 745-9T01 <br /> D'cSCRIPTION: S^wer District rtnnA iTT <br /> Lot__� Block <br /> Plat �este�e�k D1r t2 Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk �;p (�n <br /> Type Permit: I/!M Cb�ndttlon <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W. ft. <br /> Approved By �i Jlual <br /> CiP'Enqmem <br /> IMPORTANTI <br /> Issued ey Sue Frannan <br /> CALL 1-800�424-5655 48-HOURS <br /> PRIOR TO D16GING <br /> CALL 269�8811 FOR 1NSPECTION �, <br /> Inspection By � <br /> _ Date I nspected L���� <br /> SEE SKETCH ATTACHED N0. ZJH1O <br /> IfJ:�I'GC11U'r! <br />
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