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� <br />everett <br />e <br />City of Everett <br />Sewer Application orad �'ermit <br />No. ?..4555 <br />Service Addre� <br />Billing Addres <br />City, State, Zi <br />Owner (Mortg, <br />Billing Name_ <br />Connection B� <br />6/1/63 <br />DATE <br />25015 Nalnuc <br />31029 15th Avanua N.E. <br />Stanwood, Ha. 90292 <br />tiilliam J Frodsham <br />435-9233 <br />Phone <br />DESCRIPTION: <br />Lot 15-16 _ BIocR�_ <br />Plat gatch Iieits lst <br />Unplatted Description <br />Type Permit: Deeolieh_Cap o�f <br />Utility Account No._ <br />Permit Fee Z.50 <br />Connection Chargels <br />2.50 <br />Total Fee_ <br />Signed ��" <br />Custamer <br />SEE SKETCH ATThCHED <br />Sewer District_ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Late <br />Abutting Lot Line <br />N, S, E, W <br />n. R. Theal <br />Approved By <br />City Enginecr <br />E. Bond <br />Issued Bv <br />Inspectio . �� <br />Date I nspected � � 9 —�3 <br />Na� 24555 <br />INSP[CTION �pS�j ��/n <br />_J � <br />� <br />