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evereft <br />�� 1 <br />� <br />City of Everett = 4 � �' " �' `Y ' ' � ` � � <br />.� � ' �u � '4 y� ti [- ri r� a: <br />� .. I�� N `� .A ; w: :. <br />Sewer App ' t'��;����'e�'��'� _ - =_ <br />�ICQ 1 = � <br />� �+ <br />� i ` J • r O � �.i �=iSC� <br />`�:�5?�r'� s�`�-�xsZ�..�� � <br />272:� J DATE June 30, 1�n9 <br />N0. <br />Service Address 5330 S 2nd nve Bld9 �l <br />Billing Address 55aG rarkniae nr <br />City, State, Zip Mary�nil]e, HA 38270 <br />Owner (Mortgagor) Boreeth Cuator� Horna <br />Billing Name s� <br />Connection By Samn <br />Phone G59-662G <br />DESCRIPTION: <br />Lot 5 Block 23 <br />Plat _Tom of Lovell <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />t7u� connection <br />IMPORTANT! <br />CALL 1-800d24�5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259�8871 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART NO. <br />Serk ia �os��Af� S��Z'R� <br />928 �'c5 <br />�-ov or� <br />.� i' �. <br />�n J '� ;: <br />Y� M � w <br />�. <br />'i r! <br />��~"j��"3 <br />]cQCy�d y <br />'3�51`..5, v{:� <br />Utility Account No. <br />Permrt Fee 30.00 <br />Connection Chargels) 4i 576,00 <br />Total Fee 30.00 <br />Ordinance 1171-85: <br />vater f304.65 <br />sever 2121.35 <br />2926.00 <br />Signed c�nom�� <br />Sewer District <br />Dond II <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 216.00 <br />360.00 <br />la[eral _ <br />Abutting Lo[ Line <br />N, S, E,CW � GO ft. <br />APProved By nzFTtFn 7t. THt'n-3 <br />Ciry Englnccr <br />bsaxgaret E xcwoa <br />Issued BY — <br />��Yfc � <br />Inspection By � <br />Datelnspected ��-�y��� <br />No. 27'L33 <br />!fdJPC�I IO�'y <br />