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I— <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO. 25008 DATE Janney 18, 1985 <br />5829 A a 8 Fleeing Street <br />Service Address <br />Billing Address 1726 Tarrace <br />City, State, Zip Snohoakiah, we. 98290 <br />Owner (Mortgagor) John Schilaty <br />Billing Name <br />Connection <br />568-5709 <br />DESCRIPTION: <br />Lot 3 Block 6 <br />Plat Beverly Hills <br />Unplatted Description <br />Type Permit: New Connection <br />SEE SKETCH ATTACHED <br />Utility Account No._ 16256-0 <br />Permit Fee 30.00 <br />Connection Charge(s) 679.15 <br />Total Fee 30.00 <br />Ordinance 984-83 <br />1168.00 <br />Signed <br />Mnorfier <br />Sewer District Bead i <br />INSPECTION <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral <br />catered <br />124.10 <br />555.05 <br />-1 <br />Abutting Lot Life <br />N, S, E,. W' ft. <br />a L <br />Approved By A. R. Thoal <br />City Engineer <br />Issued By E. Bond <br />Inspection By <br />Date Inspected z " <br />No. 25008 <br />s <br />