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CHART <br />everelt <br />e <br />City of Everett <br />!fewer <br />N0. 25807 <br />38(5.p�p3aZ8�pp8yy �? � �i8 <br />M M~ M K w M A p <br />an e V -& y� <br />�� mZ7SJ <br />August 25, 101% <br />Service Address 2306 - 73rd St_ SE <br />Billing Address M any 02 <br />City, State, Zip l abb tevens WA 9825R <br />Owner (Mortgagor)_ Nelum A SmftA <br />Billing Name <br />Connection By --- <br />Address _ <br />Phone 669-21i25 — <br />DESCRIPTION: <br />Lot I _ Blork_{7. <br />Plat Pin -hunt E <br />Unplatted Description_ <br />Type Permit: Cap Off <br />Remarks: <br />IMPORTANTI <br />CALL 1.80OA24.665548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />„ 5err 7b CA.D.27Y.crG /z11Z3104 <br />Utility Account No. <br />Permit Fee 2.50 <br />Connection Charge(s) <br />Total Fee 2.60 <br />Signed <br />Customer <br />Sewer <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By Af EdAW <br />Issued Bye <br />Inspection B <br />Date Insp d <br />NO. 25 0T <br />INSPECTION <br />