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evereH <br />e <br />Cfty of Everett <br />$ewer qpplieatian and Permit <br />No. 25119 <br />DATE wy 17, 1995 <br />Service Address 211 94th Stsa�t s 8 <br />Billing Address 1�19 Dro�dvaY <br />City, State, Zip ��t' ��hington 98�01 <br />Owner (Mortgagor) �n �l�y <br />Billing Na <br />Connection <br />Address <br />2s'-1166 <br />CHART NO. <br />��,�: %�' <if..i�J tic.. <br />Utility Account No._ <br />�0.00 <br />Permit Fee <br />�70.00 <br />Connection Chargels) _ <br />30.00 <br />Total Fee <br />prd. 98�-83 Pd. <br />Signed cu��on,e� <br />DESCRIPTIC�: <br />Sewer District B°nA III <br />Lot �1 _ Block Monthly Sewer Service 6.50 <br />Plat Buarid9� Di� SI _ _ <br />Unplatted Description Monthly Sewer Constr. <br />— T_....L �JO.00 <br />SEESKETCH ATTACHED <br />IN;PECTION <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved <br />Issued B <br />�, R. T1ea1 <br />City Enpinen <br />E. Pond <br />Inspection By <br />Date Inspected <br />Z7 J <br />No. 7siis <br />