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921 110TH PL SE 2016-01-01 MF Import
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921 110TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 5:42:18 PM
Creation date
4/14/2017 5:42:13 PM
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Template:
Address Document
Street Name
110TH PL SE
Street Number
921
Imported From Microfiche
Yes
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i <br /> i <br /> � <br /> � <br /> � <br /> CHART NO. <br /> everett �,.,,� ,F� C'k'��z'<:;.� 9-��-ea <br /> � _ <br /> � <br /> City of Everett r 3 n �' ;� � _ � '� � _' <br /> , k `i . r� ^ r � r= � .? <br /> . l ��> t� ;S <br /> .� w� W I� � � : <br /> Sew�r Application and Permit , " �' ' <br /> � :z yYY^;��� `�Y � �� <br /> . i .� 4 -` K. � � n � .1 .J <br /> aS � �� t� <br /> 26R75 � ; ,: � � �� _� � � �x � ., <br /> N0. DATE M°Y 1:, 1`�ntt - <br /> Service Address �11 11otw ri rer Utility Account No. <br /> Billing Address n e no+ co� _ Permit Fer.�� <br /> I City,State, Zip �� R �+��, Y, 9BI58 Connection Charge�s�_ 3�0_00 <br /> Owner (Mortgagor) ►r.1�. c a.irn Total Fee 30.00 <br /> sl,acinl Utility Fee r�7. 1171-85 <br /> Billing Name s..�. vat�r 179.00 <br /> sevez 471.00 � <br /> Connection 8y g+� 650.f�0 <br /> Address �+..�. Signed_ — <br /> Cutlomer <br /> I Phone caa.,�mr —-- <br /> I DESCRIPTION: Sewer District �, III <br /> � Lot 11 Block <br /> Monthly Sewer Service <br /> � plat Lreon P].�ce <br /> � Unpletted Description Morthly Sewer Constr. <br /> i <br /> ITypa permiL• tl�r Qona�ction Trunk ]30.00 � <br /> � Lateral I <br /> II <br /> I Remarks: Abutting Lot Line � <br /> IN, S, E, W ft. <br /> I <br /> i <br /> I <br /> ' � APProved By 7�t,I'RISD R. 173F.AI. <br /> � Gty Enpmee� <br /> I IMPORTANTI <br /> Issued 8y Eu�_Aeuven <br /> CALL 1-800-024�656548�HOUflS <br /> PRIOR TO DIGGING <br /> CALL259A811FORINSPECTION <br /> Inspection By �� <br /> _____ Datelnspected <br /> SEE SKETCH ATTACHED N�• Z6b7�J <br /> IfJ`,i'I � . il�l! 1 <br /> I j <br /> i <br />
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