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everett <br />� <br />City of [vcrett <br />S�:v�rer �'�p�pBEcation cand Permit <br />N0. aq.$gi6 DATE J�e '�• 1989 <br />Se�vice Address 7500 7th Driv¢ We�at <br />Biliing F,ddress II2G S.F. F.veratt NlalY Way <br />EvareC�; 47nshinyton 9II204 <br />City, State, Zip __ <br />Owner (Mortgagor) tti.2is °inmea Inc. <br />Billing �Jame <br />Connec;ion By <br />Address <br />Phone_ 355-d492 <br />DESi,RIPTION: <br />lot � Block____ <br />P!at Veral.ene Ecstates <br />Ur:uiatted D�scrintion_ _____ <br />fvpa Permit H�,� Con;lection --- - <br />CHARTWO. �� /�-�'S'-c� <br />�� S �t,d �-� �. ��� <br />� 2 - a � :�s� <br />��f a/, >, �� - <br />� <br />Utility Account No._ <br />Permit Fee____ 30.00 <br />Connectior. Cnarge(s)_ <br />30.00 <br />Total Fee <br />7C,402-7 <br />270.00 <br />Signed_ � <br />Customer <br />SFE SKETCH ATTACHED <br />IId;;''E+=' IOId <br />Sewer District B°nZ i� <br />Monthly Sewer Service __ <br />Monthly Sewer Constr. <br />270.00 <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W <br />A. R. Thenl <br />Approved By I <br />City Er.�inver <br />�. SOIId <br />Issued By I <br />Inspection <br />Datelnspe <br />.• <br />• �.. <br />H� <br />-i ,- <br />H . <br />v. - <br />c� <br />c r <br />n] � <br />��� <br />r <br />r� E <br />c <br />�' : <br />r+ '-- <br />� �, <br />� : <br />�� <br />�; : <br />��i,, , . <br />� ,. <br />c <br />C <br />�i <br />�. <br />