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everett <br />� <br />City of Everett <br />0 <br />Sewer Appliccation ��d Permit <br />No. 24sss <br />Service <br />DATE �tober 26, 1964 <br />1325 A S.fi. Eeerett Mall Way <br />1511 Sinth <br />Billing Address <br />Seattle, Na. 98101 <br />City, State, Zip <br />iPay N Save Corp� <br />Owner (Mortgagorl� �_ <br />`---- <br />Billina Nam� <br />Connection <br />Phone <br />DESCRIPTION: <br />L�t Block <br />Plat _ <br />llnplatted Description_. _ <br />Tvoe Permit: riew �ro:u:ection <br />Ut�li:y Account Nu._— <br />Permit Fee 30.00 <br />Connection Charge(s)_ <br />Total Fee_ 30.00 <br />Ordinance 984-83 7�44.�1WC <br />�. ` 137TG.03 <br />� � _ <br />� � ,r - <br />Signed � `� ` 4� ' � <br />Customer <br />\ � _ <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />SEE SKETCH ATTACHED <br />INSPE�TiON <br />� <br />A. R. Theal <br />Approved By^_ <br />Ciry Engineer <br />E. Bond <br />Issued Bv <br />� <br />Inspection By � � <br />Date I nspected ���? � <br />� <br />No. 24969 <br />