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everett <br />� <br />City of Everett <br />CHART NO. <br />,_5"r<JT Ta � �1�; ; iilr <br />y-i E;> <br />Sewer Applicatidn and P�rmit <br />No. 25284 DATE 9/�4/65 <br />Service Address 9106 9th Avenue 5.�. Utility Account N�. <br />Billing Address <br />&S8 713 S.S. Everntt Mall i�aq Permit Fse 30.00 <br />City, State, Zip �Arett, Ha. 9£i209 <br />Ownr.r (Mortgago�nin Cuatom Flomes, Inc. <br />Billing <br />Connection <br />Address_ <br />Phone 353-6500 <br />DESCRIPTION: <br />Lot 17 81ock <br />Pla[ !low�tain View Di». d <br />Unplatted Description <br />Type Permit: taew Connection <br />Connection Charge(s)_ <br />Total Fee 30.00 <br />Ordinanca 904-83 <br />330.00 <br />800.00 <br />Signed ' /�' �'�'d / <br />Customcr <br />SEE SkETCH ATTACHED <br />IfvSP[:CTION <br />Sewer Di <br />Dond III <br />MonthlySewerService G.SQ _ <br />Monthly Sewer Constr. <br />T'runk <br />Lateral_ <br />Abut[ing Lot Line <br />N, S, E, W_ <br />Approved By n' £,. Theal <br />Clty Engineer <br />Issued By F.. IIond <br />330.00 <br />i� � <br />Inspectiar By <br />Date I nspected 1l � 3/������_ <br />No. 25284 <br />