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everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25105 <br />DATE �Y 6, 1985 <br />Service Address_Z�26 M�di�on 1►�anw <br />Billing Address 5315 93rd 1l�es�u� S.F.. <br />City, State, Zip �0���' �' 98290 <br />Utility Account No._ <br />Permit Fee 30.00 <br />Connection Charge(s) 295.00 <br />Owner (Mortgagor) <br />l4el�in Boraath Total Fee 30.00 <br />Ser.�er nawlop�aent Ozdinanee 'J84-83 <br />Billing Ilame 2,056.00 <br />Connection <br />Signed <br />Phone 33�-7138 <br />DESCRIPTION: �ewer District <br />Lotl-�-3 _ Block 16 <br />Monthly Sewer Service. <br />Plat p-�nuz�t Div. e <br />Unplatted Description Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />i <br />INSPECTION <br />Hoad II <br />Trunk 133.Z0 � <br />Lateral 162.00 <br />Abutting Lot Line 102 <br />N S, E, W ft. <br />Approved BY n. P.. Th�:al <br />Ciry Enginecr <br />Issued By �' BO� <br />Inspection By����""`— - <br />Date Inspected J "u"�� <br />No. 25105 <br />