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everen <br />e <br />City of Everatt <br />Sewer Application and Permit <br />No.25203 DATE <br />ai�ia, <br />119 94th Str+et S.E. <br />Service Address -- <br />1�29 BroadraY <br />Billing Address <br />Swrett, Ma�hinqton 98]O1 <br />City, State, Zip <br />Hoyd�a Realty. bc. <br />Owner (Mortgagor� <br />Billing Name <br />Connection By -- <br />Address <br />251-11GG <br />Phone — -- - - <br />UESCR��TION: <br />Lot Block <br />Plat ��idqe Dir. II <br />Unplatted Description -- <br />Type Permit: t�w Oone�ction <br />Remarks: <br />SEESKETCH ATTACHED <br />Utility Accoum No. _ <br />Permit Fee_. 30.00 <br />330.0a <br />Connection Charge(s) — <br />30.00 <br />Total Fee_-- <br />Siyned____ —�� <br />f.n:iome. <br />�V• ��{�� I I� �4i <br />Bopd III <br />Sewer District__._— -- - <br />6.50 <br />Monthly Sewer Service_._.—_ <br />Monthly Sewer Constr. <br />�30.00 <br />Abutting Lot Line <br />N, S, E, W <br />A. A. Th�al ! <br />Approved BY_-- c � E�B�p i <br />E. BM�Q � <br />Issued BY — I <br />Inspecti�n By� ` — <br />Q�ZZ_�f�3S \ � <br />Date Inspected__ — — <br />N�. 25203 <br />z <br />0 <br />-i <br />� <br />m <br />.-� T <br />n.� y <br />Vf 2 <br />v <br />m <br />co <br />mo <br />-i c <br />c� <br />__ <br />m <br />.o z <br />c <br />a -� <br />rx <br />.. ., <br />�� <br />�T <br />o�� <br />m .-� <br />v <br />� <br />c�r <br />m <br />c v+ <br />�� <br />�� <br />. m <br />� <br />� <br />n <br />Y <br />� <br />� <br />Z <br />c <br />� <br />r� <br />