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� everett <br />�� <br />City o( Everen • <br />Sewer Application and Permit <br />No. 234�1 <br />12 19_ 79 <br />DATE <br />3904 Netmore <br />;ervice Address <br />515 116th N.E bl�ite 231 <br />3illing Address <br />:ity, State, Zip �llewe Na. 98004 <br />Jwner (Mortgagor) Paul Fiorlto <br />Sat�e <br />9illing Name __ <br />�onnection By Samo <br />Address <br />455-4�50 <br />Phone__. <br />D�SCRIPTION: <br />Lot 30 • 31 Dlock '1 <br />Plat C11Ynaz L+ind Co's lst <br />Unplatted Descrip[ion <br />fype Permit: cap-off <br />Utility Account No. <br />Permit Fee 2•50 <br />Connection Charge(s) <br />2.50 <br />Total Fee _____ <br />� . � <br />. , �, <br />Signed i_ri'� -�- ,' ,�� r` �' ( <br />c���,o���, <br />SEE SKETCH ATTACHED <br />Scwcr District____ ___ _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral ___ <br />Abutting Lot Line <br />N, S, E, W <br />H. Warren <br />Approved By_ <br />CiW Engmeer <br />£. BOild <br />Issued By -- — <br />Insp��ction BY--- -- <br />Datel�spected <br />No. 23431 <br />