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161 <br />City of Everett <br />CHART NO. <br />To c/%gcnvF 7/2y86 <br />O&WJM 2120PM OWAg0W *W <br />Sewer Application and Permit OSFUM <br />149 $1.50 <br />No. 25667 <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner IMortga <br />Billing Name_ <br />Connection By <br />Address_ <br />DATE <br />116 - 93rd St SE <br />1429 Broadway <br />tteerett, MR 98201 <br />Boyden Realty, Inc. <br />Boyden Realty, Inc. <br />J A D 81111dMa <br />1429 Broadway, X"rett <br />252-1166 <br />DESCRIPTION. <br />Lot _ 78 _ Block <br />-- <br />.'!at g1mriAge My Tyr <br />Unplatted Description <br />Type Permit: Hew Connection <br />Remarks: <br />E SPCH tiS.W <br />My .Tune 2, 1966 6LU1 C42.`Al <br />M fill inn on <br />IMPORTANTI <br />CALL 1.800-424 5555 48 HOURS <br />PRIOR TO DIGGING <br />CALL 2598811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />NEW <br />619.50 <br />(NWI <br />1Z11.00 <br />Utility Account No. <br />t 5U. W <br />Permit Fee <br />3*W <br />J_Wl§30'0(V*-IIU <br />Connection Charge(s) <br />afl:tX <br />S'L'U.!A <br />Total Fee +n <br />8p_ <br />Signed <br />Cuf'omer <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 Ater D R. TBR1U, <br />City Engineer <br />Issued By "aret s. Noland <br />Inspection By <br />Date Inspected 7 NO. 25bc7 <br />INSPECTION <br />