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i' <br />everett <br />� <br />City of Everett <br />CHART NO <br />��g�� g ;� <br />2'' �� � <br />Sewer Application and Permit <br />No. 24053 DATE ` <br />,, <br />Service Address 4005 Nassau Str�at` <br />Bifling Address p• o, Dox 1798 <br />City, State, Zip Everett, Wa. 9820G <br />Randy Builders�. <br />Owner (Mo�tgagor) <br />Billing Name Sama <br />Connection By Same <br />Phone �59-1966 <br />DESCRIPTION: <br />Lot 9 Block <br />Pla[ Nassau Vie�v Tracts <br />Unplatted Description <br />Bi�3�raa. <br />_ Utility Account No._ <br />��t 30.00 <br />_ ;,�P�cr�it Fee _ <br />'\` <br />���` Connection Charge�s)_ <br />30.00 <br />_ Total Fee <br />Ordinance 8669-80 <br />— Arua I <br />SEESKETCH ATTACHED <br />'I — INSPKTION <br />Se�ver District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />221.00 <br />Horthend <br />� <br />P, R. Theal � <br />Approved By <br />City Engincer 'I <br />F. IIond <br />Issued By � <br />I <br />I <br />Inspec�n-�L � � ��"� - �, <br />nate Inspected -�° � 3 f� � <br />No. 24053 ; <br />�i <br />.�� <br />