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14g62D <br />everett <br />City of Everett <br />Sewer Application and Permit <br />a7L( 5/19/01 <br />No. 23994 DATE <br />Service Address 7029 Lover Ridge t:oad <br />10304 iArd Avenue S.E. <br />Billing Address <br />Everett, We. 90204 <br />City, State, Zip <br />Kim Sandra rugel <br />Owner (Mortgagor)__ -- <br />Same <br />Billing Name___ _— <br />Same <br />Connection By- <br />337-1213 <br />DESCRIPTION: <br />Lot 2_ =-- Blocky-- <br />Plat BeNerly Aaeragee <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />CHART NO. <br />Utility Account No._. <br />Hone <br />Permit Fees <br />Connection Charge(s)_ <br />tione <br />Total Fee_ <br />Signed <br />Sewer Uittnct <br />Month' / Sewer Service. <br />Mon' gly Sewer Constr. <br />Trunk <br />INSPECTION <br />3utting Lot Line <br />N, S, E, W <br />A.A. Theal <br />,pproved By City Engineer <br />F. Bond <br />ssued <br />inspection By r ti <br />date Inspected <br />No. 23994 <br />