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everett <br />� � <br />I <br />� City of Everett <br />Sewer Application and �'er� nit <br />Np. 2487Ej DATE Jun*1�. 19�4 <br />� Service Address_ 1021 - l0�th_PL SL __ ___ <br />IBilling Address?�l_ BC LRr�tt Msll Ma]L__ . <br />City, State, Zip ��tt M71 98104 _ <br />Owner (Mo�t,yagor) �=iaan 8un-Corp. - <br />Billing Name R�'___—_—_ — <br />I <br />IConnection By_ 0� --- ------ — __ __ <br />IAddress_ ��l !6 E�Ir�lt Mall Nav __ ___ <br />IPhone__.__ �S]-5080 <br />IDESCRIPTION: <br />il Lot 1] _ Blnck _ ... .. .. -. - _ <br />Plat Fir�isL---- _------ -- <br />Unplatted Description__ —____— <br />!I Type Pei mi!: Nw oonn�otion <br />� <br />ICHART NO._._ —_— <br />1�;; �t �� .�''�'•/�� <br />�i , /"9 "•4c� <br />� i''/�" ['�[� S ,,/ <br />Utility Account No. � <br />Permit Fee _=�•� <br />Connectiun Chargels) 39U�� _— ._ <br />Total Fee--__- —.-_- �0.00 -- -- <br />oati1. 98A-r�1 i�100.00 <br />_ �`'\ <br />Signad._____ a . <br />ci�+�omer <br />5ewer District____�ud III <br />Month:y Sewer Service_. _ __ _ _ <br />__ M �n�,hly Sewer Constr. <br />-- T.....L <br />SEE SKETCH ATTACHE� <br />Lateral _ <br />Abut[ing Lot Line <br />N� S• E• w--- - - -- --ft. <br />Approved By A1 iMal --- � <br />CnY Enpmeer I <br />Issued By —e_��° _ <br />Inspection By ��� �� L �� � <br />Datelnspected_ � � �__ :'� <br />NO. � ZA876 <br />t <br />E. <br />