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everett � <br />e <br />City of Everett <br />Sevfrer Application and Permit <br />No. 24903 DATE Julp 20. 1984 <br />Service Address 1405 S.E. Ewrett Mall Way <br />Billing Address 11000 Iake City Hay <br />City, State, Zip 3eattla, Nuhington 98125 <br />Owner (Mortgaaor) �_� � ��iates <br />Billing Name <br />Connection <br />367-578� <br />DESCRIPTION: <br />Lot Block— <br />Plat <br />Unplatted Description 18 28 5 <br />Utility Account No. <br />16089-� <br />Permit Fee 30.00 <br />Connection Chargels) Pd' bp Bld4' Z <br />Total Fee 30.00 <br />Ordinauce 984-83 22G0.80 <br />Signed "" ' <br />Customer <br />SEESKETCH ATTACHED <br />INSPECTION <br />Sewer District �� III � <br />Monthly Sewer Service �ter�d <br />Monthly Sewer Constr. <br />Trunk <br />I_ateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved By A. R. Theal <br />Ciry Engincer <br />E. Bond <br />Issued By — <br />.. . ��A:, . . ._ <br />� - - �...��. <br />.. . .. ., � -�• <br />• 'l <br />