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everett <br />e <br />�ity of Everett . <br />0 <br />Sewer Application and Permit <br />No. 23429 <br />DATE <br />12/19/79 <br />397.0 Wetmore <br />;ervice Address <br />515 116th N.E. Suite �31 <br />3illinp Address_ <br />;ity, State, Zip <br />Bellewe Na. 98004 <br />)wner (Mortgagor) paul Fiorito 51 <br />Same <br />3illing Name — <br />;cnnection BY 5� <br />455 4850 <br />Phone <br />JESCRiPT.ION: <br />_ol Z�- Z3 Block � <br />'lat Clla� Land Cb. a let <br />Jnplatted Description <br />�ypc Permit: Cap-off <br />;emarks: <br />SEE SKETCH ATTAGHED <br />CHART <br />Utility Account No._ <br />2.50 <br />Permit Fec <br />Connection Charyels' <br />2.50 <br />Total Fee _ <br />� -� <br />/ �'/, � ' � �f/! ����.� <br />Signed �' _ K' �, �� <br />l,ustomcr <br />i !! <br />Sewer District_ <br />Monthly Sewer Service_ <br />Monthly Sewer Canstr. <br />Trunk _ <br />Lateral __ <br />Abutting Lot Line <br />N, S, E, W_ <br />t[. Warren <br />Approved BY <br />Citv Engmccr <br />E. Bond <br />Issued BY - <br />inspection <br />Datelnspe <br />No. 23429 <br />