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eveeetl <br />� <br />City of Everett <br />Sewer Applicati�n and Permit <br />D ATE _ APril 23, 1985 <br />rvo. 25087 <br />1505 MCDougal � ✓e <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) — <br />Billing Name <br />Connection By City of Everett <br />Address <br />Phone <br />DESCRIPTION: <br />Lot Block <br />Plat <br />llnplatted Description — <br />Utility Account No._ <br />None <br />Permit Fee_ <br />Connection Chargelsl— <br />None <br />Total Fee <br />Don Miller <br />Signed <br />$CWCf �ISifICt <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />� l�: 1C,,�;-;, , ,-.i.:., <br />abutting Lot Line <br />N, S, E, W <br />A. R. Theal <br />qpproved BY Ciry Engincer <br />�. Bond <br />Issued By ---- <br />�..'n ��,�, <br />Inspection By���-1' r�� •e "`�`=Y- — <br />Date Inspected <br />�� �.S"-J'S <br />No. 25087 <br />z <br />0 <br />� <br />� <br />m <br />-=� -n <br />..� <br />cn x <br />m <br />0 <br />c o <br />m o <br />-i c <br />oa <br />m <br />-� z <br />x -i <br />n <br />.o z <br />c <br />�_ <br />=-� in <br />-� <br />T <br />O A <br />�t D <br />�m <br />x <br />m N <br />0 <br />or <br />n m <br />C N <br />� N <br />'m <br />Z c'f <br />--� r <br />• m <br />a <br />� <br />� <br />x <br />n <br />z <br />-� <br />x <br />.. <br />� <br />z <br />0 <br />-� <br />.. <br />n <br />m <br />