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I <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25071 <br />DATE April 9. 1985 <br />Service Address 5722 A a B Fleming Street <br />Billin<, Address P.O. Boot 495 <br />City, State, Zip Stanwood, Wa. 98292 <br />Owner (IVlortgagoM"nwood U=ber and Supply <br />Billing <br />Connection B <br />Phone 629-3189 _ <br />DESCRIPTION: <br />Lot Ptn 9-10 Block <br />Plat <br />Unplatted Description <br />T,,-- Do....;. - <br />SEE SKETCH ATTACHED <br />Utility Account No <br />16301-4 <br />Permit Fee 30.00 <br />Connection Charge(s) 926.84 <br />30.00 <br />Total Fee <br />ordinance 984-83 <br />1169.00 <br />Signed <br />Customer <br />INSPECTION <br />Sewer <br />Bond 1 <br />Monthly Sewer Service. "i tered <br />Monthly Sewer Constr. <br />169.36 <br />757.48 <br />Abutting Lot. Line <br />N, S,_E, W 116 <br />Approved By A. R. Theal <br />City Engineer <br />Issued By E. Bond <br />f' <br />Inspection By <br />Date Inspected <br />NO. 25071 <br />z <br />0 <br />m <br />i <br />