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ki <br />City of Everett <br />Sewer Appl <br />No. 25844 <br />R <br />R <br />C <br />i <br />6� <br />A^ 0 O � O <br />ication <br />andRe" <br />CJ i.r • r .• w <br />' iC- <br />.. <br />.Y, <br />cl <br />� <br />T <br />a 0:v:y <br />DATE <br />September 23, 1966 <br />Service Address Iris - 7sth st S_W_ <br />Billing Address P.O. Iiez o847 <br />City, State, Zip $ypt,=le, i!A 98109 <br />Ownrr (Mortgagor) sibev orparatl on <br />Billing Name same <br />Connection By Perkley S =cturea <br />Address Same aebilling addrean <br />DESCRIPTION: <br />Lot _ Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-80OA24--555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8311 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee 30.00 <br />Oonnection Charge(s)_ <br />Tntal Fee 30.00 <br />Special Utility Pee, Ordinance 1171-85: <br />water only $1931.63 <br />Signed t/ ��- '/I`— <br />CuyfoRar <br />Sewer District bond III <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By AtrR= R TULAL <br />G,y Engineer <br />Issued Ry_�.rgasai-8�A1arLQ*4,— <br />Inspection <br />Date I <br />INSPECTION <br />No. 25844 <br />