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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25019 <br />DATE TabrWrrg 13 1985 <br />Service Address not - B9rh a r.wr xr <br />Billing Address_ 9210 twx4re— v.Y <br />City, State, Zip r.tt r>, 992M .— <br />Owner (Mortgagor) n...ae Mn....vtr __ <br />Billing Name 0&=mr niahl-r <br />Connection By a� — --- <br />Address 9210 FTfflMrla0A—W&R — <br />Phone_ asa-Z700—_ <br />DESCRIPTION: <br />Lot_ Block -- <br />Plat mt. View #6 <br />Unplatted Description — --- <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />Utility Account No.. 176444-9 <br />Permit Fee _ '0-00 <br />Connection Charge(s) 3 0.00 <br />Total Fee__ - —30 40 <br />Sever Dev. Fee Ord. 984-83 <br />S. F. Rea. $800.00 <br />Signed <br />INSPI-Cl10.4 <br />Sewer District --- <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk ]]0 00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By A. R. 11ea1 <br />City Enp:neer <br />Issued <br />Inspection By <br />Date Inspected` <br />No. 25019 <br />