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i <br />City of Everett <br />Sewer Application and Permit <br />NO. 25766 DATE _ J&ly "" 198E <br />Service Address 2410 - 74th St • -- --- <br />13029 Bothell Way <br />Billing Address Xj1X1MXlIMMX1Ke1C <br />City, State, Zip_Erarett WA 9=4 <br />Owner (Mortgagor) Rvssel Ht1m124- Inc. <br />Billing NameSame <br />Connection By caerr ---- <br />Phone__�3Z-OOnO ---- — <br />DESCRIPTION: <br />Lot 3 por Lot 2 Block 3 <br />Plat Buena Vista HomesTracts <br />Unplattel Description <br />Type Permit: "" Connection <br />Remarks: <br />IMPORTANTI <br />CALL 1.800.424-6555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No <br />Permit Fee 30-00 <br />Connection Charge( <br />Total Fee o0 <br />Signed <br />Cmtcmer , <br />Sewer District BoVA tT <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By Al Theal <br />Gly Engineer <br />Issued By e r ■nnan — <br />Inspection By �X — <br />Date Inspected ,F- .� 4 - IF L <br />NO. 25766 <br />INSPECTION <br />