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everett • <br />� <br />City of Everett <br />Nnc. 'i'-�-r'oo <br />Sewer Application and Permit <br />No. 235217a � DATE �ch 5, 1980 <br />�11 i 8 SSth STA'E2T 9.w. <br />Service Address <br />6916 E�ergzeen Nay <br />Billing Address <br />City, State, Zip �ntt, xa. 9820� <br />pngtt Sound Proparties. Inc. <br />Owner (Mortgagor) <br />Billing Name <br />•aa� <br />Connection <br />Phone ��1� <br />CHART N0. L I -2g-�/ <br />WsTE� 11-1y-8� <br />Utility Account No. 14616-7 <br />Permit Fee 30.00 <br />Connection Cnarge(s) �2�•50 I <br />30.00 ! <br />�fotal Fee � <br />� <br />Signed� ' <br />� Customer <br />! <br />DESCRIPTION: <br />Sewer District 19 bO°a i= <br />Lot � Block ��� <br />��� �� Monthly Sewer Service <br />Plat - <br />Unplatted Description Monthly Sewer Constr. <br />Tvne Permit: � � <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk 1.15 <br />Laterel <br />Abutting Lot Line 60 <br />N, S, E, W <br />Approved By x' w�� <br />Ciry Engineer <br />E. Band <br />Issued By <br />Inspection By �' ` ' <br />Date Inspected � —�� - � <br />N�. 23521 <br />