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everett ���'� �-'�'-�" <br />e <br />City of Everett <br />Sewer� Applicati�x� and Permit <br />No. 23Ei89 a�l�g° <br />DATE <br />Service <br />Billing Address <br />726 SStz, Stieot S.W. <br />��24 Evezgreen 4tap <br />City, State, Zip__ E°erett, Na. 98203 <br />Bi-Rita Ylusbing <br />Owner {Mortga;:�or) <br />Billing Name ei-Rite Plumbinq <br />Bi-81te Plusbinq <br />Connection Dy <br />Address _ <br />Phona 353-7971 <br />DESCRIPTION: <br />Lot � Block <br />Plat Seahnrat Estatea <br />Unplatted Description <br />Type Permit: N�v Connection <br />CHART NO.� �' 2-`� - y <br />osr�D 6- 3-8 I <br />r <br />� <br />Utility Account No. 1��52'0 <br />30.00 <br />Permit Fee_ <br />Connection Charge�s) �2�•DU <br />30.00 <br />Total Fee <br />Ordiaance 669-80 p50.00 <br />Signed <br />Customer <br />SE� SKETCH ATTACHED <br />INSPECTION <br />Sewer District 19 8ond II <br />!tetar�d <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />_ 1.88 d25.00 <br />Lateral <br />Abutting Lot Line 125 <br />(N�S, E, W ft. <br />E. Warren <br />Approved By <br />Ciry Engineer <br />E. SOnd <br />Issued By_ <br />Inspection <br />Da Inspected�� <br />rvo. 23680 <br />