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evQrett <br />e <br />City of Everett <br />Sewer Application and Permit <br />Augnst 18, 1980 <br />No.23705 DATE <br />5613 Sonth 4th Avenue <br />Service Address <br />Billing Address 3631 Broadway <br />F.verett, Ha. 980Q1 <br />City, State, Zip <br />pwner (Mo�tgagor) Rudy Wildersuth <br />Billing Name Rudy Wildarmuth <br />Conncction By Sama <br />252-8366 <br />DESCRIPTION: <br />Lot �-a Block 25 <br />Plat Town of Lowell <br />Unplatted Description <br />CHART N0. L S�2� - S <br />� <br />�, �� �.,: � <br />,- <<<,-�;, <br />/�( �_1 <br />t' -�', <br />Utility Account No. <br />Permit Fee 30.00 <br />papinq <br />Connection Charge�s) <br />30.00 <br />Total Fee <br />Ordinance N664-00 <br />Area R4 G00.00 <br />Signed Customcr <br />16 Bottd II <br />Sewer District�- <br />3.80 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INtiPECTION <br />4butting Lot Line <br />N, S, E, W <br />fl, Harren <br />i{�7�fOVC(� BY City E�g�neer <br />E, Bond <br />Issued <br />Inspection By \ <br />Date Inspected �� N� �� � U <br />No. 23705 <br />