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evereri <br />e <br />City of Everett <br />Sewer Appiication and PF:rmit <br />No. 25073 <br />DATE 4�12/!!5 <br />�:�6 <br />Serv�ce Address '�"�� �'ilYn <br />Billing Address <br />20�29 N.E. 1SOtA Stza�t <br />City, State, Zip ��l11�. Na. 98072 <br />Owner IMortgagor) �°� CO��' �' <br />Billing :Vame �� <br />Connection <br />Phone 788-5]18 <br />DESCRIPTION: <br />Lot � Block � <br />Plat �; `---""' "" ' <br />Unplatted Description — <br />CNART N0. <br />� <br />�'�v�=s S=w,-ic <br />,,=r�-• .-<>.i ��+,.v_-�.�,db <br />/-/� �9G <br />Utility Account No. 76�64-7 <br />Permit Fee 30.00 <br />725.00 <br />Connection Chargels) _. <br />Total Fee 30.00 <br />(�syinance 984'83 <br />800.00 <br />' � �, <br />r .; , � <br />Signed c�:�o�� <br />Boe�d Ii2 <br />Sewer District <br />6.50 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEE SKETCH ATiACHED <br />INSPECTION <br />395.00 <br />�]0.00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved BY �• a• '�al <br />City E�gineer <br />E. k30nd <br />Issued By - <br />Inspection By <br />� �L1rv,o,� �,�-w <br />Datelnspected �'Z7/�S <br />No. 25073 <br />