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everetl <br />e <br />City of Everett <br />Sewer Application and Permit <br />N 0. 24982 p�� ���_ �6� 1984 <br />Service Address 1 �911 ��� — Utility Account <br />Billing Address_ <br />City, State, Zip _ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />Phone <br />P.O. Boz 36� <br />Makiltw, Na. 98275 <br />NorCsaft <br />355�4146 <br />30.00 <br />Permit Fee. <br />76{)6-5 <br />Connection Charge�s) �7^.00 <br />Total Fee 30.00 <br />Ozdinance 98t-8] <br />%���� 600.00 <br />/'/, • <br />Signed r " �/�1 <br />Cus,omer <br />J <br />DESCRIPTION: Sewer District_ e°M II <br />Lot s 1 Block <br />Plat ��' �9� Monthiy Sewer Service �•� <br />Unplatted Description Montlily Sewer Constr. <br />Tvne Permit ftw Cee�etien <br />Rrmarks� <br />SEESKETCH ATTACHED <br />INSPECTION <br />Tru <br />Abutting Lot I_ine <br />N, S, E, W, <br />Approved By �• R. Theel <br />City Engincer <br />E. BifI18 <br />Issued By .__._ <br />270.00 <br />ft. <br />Inspection By -"�'-'-�� ���e/^"^"'-- . <br />Date Inspected S/A� - <br />NO. G �nefn <br />