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everett -. <br />e <br />City of Everett <br />� <br />D � � • ��� - <br />V <br />JUL 14 190� <br />CITY Of Eb�cFETT <br />PuWic works Uept <br />Sewer Application and Permit <br />No. 23659 DATE �n�� <br />Service Address �20 ��� �7 Utility Account <br />1502 Coa! Srail Aoad <br />Billing Address <br />Mdciltw, l/a. 98225 <br />City, State, Zip <br />Gatp Priw C Jia 1loo:v <br />Owner (Mortgagor) <br />Billing Name � <br />8ar <br />Connection Bv—_ <br />iss-ob» <br />DESCRIPTION: <br />Lot � Block <br />Plat �►�zly iHwLaMs Di�. �2 <br />Unplatted Description <br />Type Permit: � Ooeneaiia� <br />Permit <br />CHART NO._W' �`� ' �-8'S <br />PaSTEp a-s-e� <br />� �� <br />�� <br />75913-2 <br />677.50 <br />Connection Charge(s) <br />30.00 <br />Total Fee <br />Sawr Ordinanw f669-80 <br />nrw i1 <br />� _ -.. _, <br />/ / /.. <br />Signed_✓ `/ `� ��`__.� � <br />Cust mer <br />�J <br />25 Bond II <br />Sewer District <br />3.80 <br />Monthly Sewer Service <br />SEE SKETCH ATTACHED <br />INSPECTION <br />26i.00 <br />Monthly Sewer Constr. <br />1.15 255.00 <br />Trunk <br />2.35 122.50 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />H. itarnn <br />Approved By <br />Ciry Engineer <br />fi. eaod <br />Issued By __ <br />Inspection <br />Date Inspected_ /'� �- ��% <br />No. 23659 <br />