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everett <br />e <br />City of Everett <br />Sewer Applisation and Permit <br />N0. Z41ZO DATE <br />2G09 RockQfeller <br />^ecember 1, 1981 <br />Service Address — <br />2604 Rockefeller <br />Billing Address <br />tverett, Wa. 98201 <br />City, State, Zip <br />General Telephone of NW <br />Owner (Mortgagor) <br />SRwe <br />Billing Name — <br />Connection By <br />Address__ <br />Phone _— <br />DESCFj��TI��V: <br />Lot <br />Plat bY���x�X <br />Unplatted Descriptl <br />G1I <br />Block <br />F,uck�r's lst <br />Tvne Permit Nov Connoction <br />CNART NO. _ <br />Utility Account No._ <br />Permit Fee 30.00 <br />��S�.rL� <br />�-.��—g �_ <br />V.�-- <br />Connection Charge(s) <br />30.00 <br />lbtal Fee <br />Ordinar.ce i�715-IIO <br />hraa I 2PO4.50 <br />� <br />� ti. j`� L��� <br />Signed <br />Customcr <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />�i�J��F1�� ��i� <br />Lareral_ _ <br />Abutting Lot Line <br />N,S,E,W <br />Motered <br />t�. R. Thaal <br />Approved By <br />Ciry Fngmce� <br />E, iSond <br />issued Bv <br />� <br />Inspection By— �� �'�`' �' `� �- <br />r l ) �� <br />Date I nspected I�`' � n� <br />No. 24120 <br />■ <br />t. <br />