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everett <br />e <br />City of Everett <br />Sewer Applicatio�n and Permit <br />No. 25013 <br />DATE _ Jannazv 24. 1985 <br />Service Address 5970 io�th 9n0 71*�aw _ <br />Billing Address Si3Z iartb-l�t 71ti�ww <br />City, State, 2ip yti,�� � 98�O1 <br />Laxy Cronla / <br />Owner (Mortgagor) y�nd� ro��t <br />Billing Name p.�. <br />Connection By �.�. <br />Address— 5612 iewth 3at it <br />Phone_ �50 ;7ao <br />DESCRIPTION: <br />Lot Block <br />Plat <br />CHART NO. <br />Utility Account No. 76��1-5 <br />Permit Fee 30.00 <br />Connection Charge(s)_ 720.00 <br />Total Fee ]0.00 <br />Sarer Dv. Fee orr3 984-83 <br />SFR $800,00 <br />Signed <br />Customcr <br />Sewer District <br />Manthly Sewer <br />Unplatted Description �5 �� 2nd Springa Bts Monthly Sewer Constr. <br />�iLhs let 11Ad Eo towell th elp alg 2nd <br />- "—�:^:-«-l4�6 !M-fi�9?,-S !!-!A 6-56 i! !h S Trunk Z7p,pp <br />Type Permit: 292.5 ft th N 50 ft to SPB - <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lateral 450.00 <br />Abutting Lot Line <br />N,S,E,W, <br />Apprc,ved By .ia�� � rh,y,yl <br />Ciry EnBineer <br />Issued By S_ rrann.n <br />Inspection By_�����"C/�a! � <br />�'_ <br />Date Inspected_3 ' �- " F� <br />N�. 25�13 <br />