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rverett <br />� <br />City of Everett <br />SF�vorer �4��plicntoon and Perr�it <br />9/23/85 <br />No.25281 DATE <br />3010 1Fth Street <br />Snrvice Address <br />Billing Address <br />City, State, Zip <br />Owne� (Mortgagor) <br />Billing Name <br />Connection By City of Everett_ <br />Address_. <br />Phone — <br />D[SCRIPTIOfJ: <br />Lot Block <br />Plat <br />Unplatted Description <br />CHART N <br />� <br />0 <br />0 <br />0 <br />O <br />0 <br />c, � <br />-° <br />N'� <br />Utility Account f�lo._ <br />Permit Fee none <br />Connection Charge(s�_ <br />Total Fee none <br />Signed <br />Don Miller <br />Sewer District <br />Monthly Sewer Service. <br />Mon[hly Sewer Constr. <br />Trunk <br />Lateral <br />SEESKETCH ATTACHED <br />..'�,�,�,�_ �� <br />rtting Lot Line <br />N, S, E, W, <br />A. R. Theal <br />roved By. <br />Ciry Engineer <br />E. Bond <br />ed By -- — <br />ection By :�Li�cL <br />� Inspec[ed � �"7 "�_�� <br />No. 252�'1 <br />