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f J f '��� � �'t <br />everet� <br />e <br />City of Everett <br />Sewer Applicction and Permit <br />CHART N0. d �� "�� S <br />Pos�n io-zz-S� <br />(�+' <br />I�psil 17. 19i1 I - <br />No. 23966 DATE <br />2522 Malaut Street Utility Account No. <br />Service Address_6502 718 S.M. ]0.00 <br />Permit Fee <br />Billing Address_ <br />Nonntlak• T�rraca, Ma. 98D� Connection Chargels) <br />City, State, Zip �p, 00 — <br />Owner (Mortgagorl fraaing Li*it�d <br />Billing Name s��� <br />Total Fee <br />OrAiaaac• R669-80 2Z1.OQ <br />71raa I <br />ea�� / � <br />Connection By � „ � ,� _ <br />' $IgllCd Customer <br />Address <br />776-1735 <br />Phone <br />$ewer District <br />DESCRIPTION: 5.10 <br />Lot pta 34-2S-2�lock 5T5 Monthly Sewer Service <br />Plat Milay L�nQ Co. 4th <br />Monthly Sewer Constr. <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />K�v Coea�ctlon <br />SEE SKETCF! ATTACHED <br />Laterel <br />Abutting Lot Line po=tb�nd <br />N, S, E. W_-- <br />a. R. Theal <br />qpproved BY <br />Ciry Engineer <br />8, Bond <br />Issued <br />�� <br />INSPECTION <br />G�- ! t1��• � <br />Inspection By I <br />Date Inspected (, � � v� --- <br />No. 23966 <br />