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everen I <br />e <br />City of Everett <br />Sewer Application and Permit <br />May 7, 1990 <br />No.23597 DATE <br />Service Address 3901 smith Street <br />P.o. sox 1947 <br />Billing Address <br />Everett, Na. 98206 <br />City, State, Zip <br />Owner (Mortgagor) Danard Custom Hosea <br />Sale <br />Billing Name <br />V. i S. qW Septic service <br />Connection By <br />2014 171st Ave. S. V. <br />Address ā€” <br />Bnohemish, 98290 <br />Phone %9co -- <br />DESCRIPTION: <br />N50, ,. i to 3' <br />Lot ( Bloc( <br />J.B. Sines Acre Tracts <br />Plat <br />Unplatted Description <br />r _ Alteration <br />SEE SKETCH ATTACHED <br />CHART <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Charge(s) <br />10.00 <br />Total Fee <br />W <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line northend <br />N, S, F, W <br />ti. warren <br />Approveu By <br />C111 Engineer <br />E. Bond <br />Issued <br />Inspection By <br />Date Inspected rnA-Y Pāœ“0 <br />No. 23597 <br />