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everen <br />e <br />City of Everott <br />9 Sewer Applicotion and Perrnit <br />No. 25358 DATE �• 12, 1995 <br />Service Address �16 106th BtrN! �.E, <br />Billing Address 17O1B 1Sth l►�na� N.f. _ <br />City, State, Zip ��ttl�, Ih. 9l1SS <br />Owner (Mortgagor� �� ��t' �• <br />Billing Name <br />Conne�;tian Bv _ <br />�srous <br />DESCRIPTION: <br />Lot �� Block <br />Plat _ o.d.r sae. <br />Unplatted Description _ <br />Permit: <br />Remerks: <br />Mw Co�e�otiow <br />IMPORTANTI <br />CALL 1$00�424�565648�HOUHS <br />PRIOp TO DIGGINC <br />CHART N0. <br />� <br />i �.�.r� s�.....- ,o oc--..n/ <br />�-•1 c�f� c r�.c�c /- 3 -8�• <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge�s) a°�•� <br />Total Fee j�'� <br />Ordiaand 117-69 <br />lhbs 179.00 <br />ew.z m.ro <br />650.Op <br />Signed <br />cw�omer <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N,S,E,W, <br />Approved Hy__ A. A. 71ra1 <br />CrtyEnpmem <br />Issued By --- �`.• �d__ <br />]70.00 <br />CALL 269A811 FOR INSPECTION � "� � <br />Inspection By� ( � <br />--- -- — �y� <br />__ Date Inspected___ 4Z��9 -�7 _ <br />SEE SKETCH ATTACNED NO. 25J66 <br />i��::�1�:��.�.i��'. <br />