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everen <br />� <br />City of Everett <br />S�ew�r Ap►plication and Permit <br />No. 25198 DATE ��30/BB <br />Service Address 507 75Lh Plad S.N. <br />Billing Address 9=6 g•8• r�r�tt Wll May <br />City, State, Zip �=ett, Ra�4ington 9B20I _ <br />Owner (Mortgagorf�nUx Hilli� tWea• <br />l3illing Name <br />Connection By <br />Phone �55-d�9t <br />DESCRIPTION: <br />I_ut _ __ 1� Block _ <br />� ��� varai� T.�uta• <br />U �platred Description <br />Utility Account No. <br />Permit Fee ��•00 <br />Connection Chargels�_ ��0.00 <br />Total Fee 30.00 <br />Signed <br />Remarks: <br />SEESKETCH ATTACHED <br />INSPECTION <br />Sewer District 8°nd ii <br />Monthly Sewer Service _6.50 <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By A. R. Thaal <br />c��v t •a���em <br />Issued By $• �nd <br />Inspection Dy �-� ��� !'�� °�� Z , � <br />Date Inspected_ � ��_7 /-�f <br />No. 2519$ <br />