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everetl <br />e <br />City of Everett <br />Sewer Applicction and Permit <br />N0. L5220 DATE A°9tl�t 29, 1985 <br />Service Address �20 lalh Placy S.t. <br />Billing Address � 15001 24tA Art. /.E_ <br />City, State, Zip �11 C'�k. lf�• 9801� <br />Owner IMortgagor�r�ri K• �![ <br />Billing Name _ <br />Connection By <br />Address <br />Phone <br />DESCRIPTI ON: <br />Lot » Block <br />Plat !!r l�nr <br />Unplatted Description _ _ <br />� Type Permit: Nw Oonmctioo <br />CHA RT <br />�Oi'�!i f, :,,T Fnn <br />C..�oir.,✓� `/_ 9- AF <br />Uhlity Acco,,nl No._ <br />Permit Fae ��•� <br />Connection Charge�s) »�•� <br />Total Fee 30.00 <br />Ordia�no� 98�-83 <br />B00.00 <br />Signed__ . -- — <br />._ .r��,��,����� .__-- <br />SEE SKETCH ATTACHED <br />INSPECTION <br />SewerDisVict �a Iti <br />Monthly Sewer Servi�e 6. SO <br />Monthly Sewer Constr. <br />Trunk _ ]]0.00 <br />:.ateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved By A.R, The�l <br />CitV E ngmenr <br />e, eone <br />tued Bv <br />il � . <br />nspection By_S/i� <br />lat� Inspected D Zg /� <br />rvo. 25228 <br />