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everett <br />�e <br />City of Everer <br />Sewer Application and Permit <br />NO. 25201 DATE _ <br />Service Address 9002 got"Jace-S.E. <br />7/31/85 <br />Billing Address 713 S.P.. Pverett Mall Nast <br />City, State, Zip Everett, Na_ 98204 <br />Owner (Mortgagor( Cronin Hones <br />Billing Name <br />Connection By <br />Address _ <br />Phone 353-6500 <br />CHART NO. <br />G- <br />�LYLEs SE.✓rFo.e eRC.�r�w�et <br />Utility Account rlo._ <br />Permit Fee 30.00 <br />Connection Charge(s) 330.00 <br />30.00 <br />Total Fee <br />Ordinance 984-83 <br />000.00 <br />Signed % <br />Customer <br />DESCRIPTION: Sewer District DOW Iii <br />Lot 9 Block_ f Monthly Sewer Service 6.50 <br />Plat Mountain Viw its <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: New Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />Trunk <br />330.00 <br />Abutting L,)t Line <br />N, S, E, W ft. <br />Approved By A. R. Thoal <br />City Engineer <br />Issued By 8- BMd <br />Inspection By I W <br />Date Inspected <br />NO. 25201 <br />INSPECTION <br />