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everett <br />� - <br />City of Evereft _ � c � p � � � � ;N; � <br />`r u� o c•r �i c �^� ,� _• <br />'l] .t •O ir �x.. (y p'� f:� <br />�� Y7...�Y i1"r :Ii it(i :S- �.� .j� i^ <br />��wer A�apli�#ion �n�! �PQrmit <br />- - :L =� = •n ,� _ -. ;_; <br />_ _, . _� : - - ��: <br />`";� , `_,_.- <br />�765� - - .� .� _ <br />"+0. �- DATE V March 20, 1990 <br />Service Addr�ss 5007 - 9th ave w <br />Billing Address._�S� �x 7nn <br />City, State, Zip_ ttulcilteo. Wr. 95275 <br />Owner (Mortgagor) select xomeo <br />Biliing Name Qam� <br />Connection Bv <br />Phone <br />CIESCRIPTION: <br />Lot 16 Block <br />Plat Clnnhava�Htm <br />Unplatted Description <br />Type Permit: ta� <br />Remarks: <br />IMPORTANT! <br />CALL 1-800�4?4-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8871 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART N <br />l C�� C� � �1 Is�CI <br />Utility Account No. __ <br />Permit Fee qn nn <br />Conneciion Charge�s)���n <br />Total Fee zn_nn <br />Ordinance 11%1—AS <br />wator 224.U0 <br />sewer 509.G0 <br />813.OU <br />Signed_ ' <br />Customer <br />�ewer District a�.,� <br />Monthly Sewer Service_ <br />_ Monthly Sewer Constr. <br />Trunk 110.U0 <br />Lateral <br />Hi,�*;ing Lot Line <br />N, S, E, W, <br />Approved By u,="�D R. TEiL1�I. <br />::i�y Engincer <br />Issued By_ <br />J t�okwell <br />� <br />�� i <br />i � ;� -- <br />Inspection By--" � <br />Date Insoected �°�'�—�`� i <br />,,. . .'_ iiC::' <br />No. 2765$ <br />