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everett Z/O T Z 3 <br />e 2, Z z Z� 9g'-" �. sE <br />z, Zz� <br />z.e <br />City of Everett 2LO <br />z:i <br />zzz <br />Sewer Application and Permit <br />No.23751 9�� 9��s�eo <br />DATE <br />�'-ird 11�seue 8.6. <br />Service Address <br />Billing Address �•O. lox 5308 <br />City, State, Zip s��=�tt, Na. 98306 <br />Owner (Mortgagor) ����=din Ca�to■ Hosao <br />Billing Name_ Dn�ardin Ca�toe Hoe�• <br />Connection Bv ���� <br />»�-saie <br />DESCRIPTION: <br />Lot 1 thru S Block 1� <br />Plat Ptn 9 thrn !3 Int�rcity �1�. 1 <br />Unpletted Description _ <br />Type Permit: 11�v Cenn�atioa <br />Remarks: <br />(18 <br />SEESKETCH ATTACHED <br />CHART ��0. <br />io.�+�d <br />Ki�k Frr�!'s <br />iz- ��-e� <br />Utility Account No. 1�7sI-5 <br />510.00 <br />Permit Fee <br />Connection Chargels) ��5�•71 <br />5�0.00 <br />Total Fee <br />Ordinanee 1669-80 <br />Jlre• II <br />Signed <br />cm�o <br />Sewer District <br />Monthly Sewer Service <br />_ Monthly Sewer Constr. <br />.030 <br />— Trunlc <br />Lateral_ <br />Abutting Lot Line <br />N, 5, E, W_ <br />Approved <br />Issued <br />5780.00 <br />M�tai�d <br />25.7! <br />H. Iletren <br />���v enpmre. <br />E. Bond <br />� <br />Inspection By-J/x���_-/'K!]r4L� 2�%{��E-. <br />Datelnspected���U� __ ��� <br />N� 23751 <br />