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evereh <br />�e <br />City of Everett . <br />Sewer AppliCation cnd permit <br />No. 23427 1Z,1�9 <br />DATE <br />iervice Address 3930 xetmorc _ <br />515 116th N.E. Suite 231 <br />3illing Address <br />Bellewe Wa. 98004 <br />�i[y, State, Zip <br />�wner (Mortgagor) Paul Fiorito <br />3illing Name S8� <br />�onnection By S°t"e <br />Address <br />455 4850 <br />Phone_ - <br />D[SGRIPTION: <br />Lot 19 20 Block_ 7 <br />Piat Clima�c Land Co.• lnt <br />Unplatted Description <br />-ype Permit: CalLoff <br />CHART <br />Utility Account No. <br />2.50 <br />Permit Fee__ _ <br />Connection Chargr.�s) _ <br />2.50 <br />Total Fec <br />� i� /� /�t <br />Signcd ; �,r�lr : , ._�;:., �/!�� L�( � <br />cus,omcr <br />Sewer District_ <br />Monthly Sewer Service <br />Monthly Sewcr Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W __ <br />II. Wazren <br />Approved By <br />CitY Engmeer <br />�. DOiI[] <br />Iss�ed By _ <br />Inspection <br />Datelnsoe <br />SEE SKETCH ATTACHED NO. 2342� <br />t. <br />