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ki <br />City of Everett <br />Sewer Application and Permit <br />No. 25673 <br />Service <br />DATE <br />124 - 93rd St SR <br />June 3, 1906 <br />Billing Address_ <br />1429 Broadway <br />City, State, Zip <br />Everett, NA 98201 <br />Owner (Mortgagor) <br />Wydee Realty <br />Billing Name <br />gave <br />Cunnection By <br />J 4 D llnildero <br />Address 1429 Breedway Everett <br />Phone_ 252-2166 <br />DESCRIPTION: <br />Lot 80 _ Block <br />Plat 2,mrldQe niv TTT <br />Unplatted Description <br />Type Permit: Mev Connection <br />Remarks: <br />IMPORTANT! <br />CALL 1800-424-555548-HI <br />PRIOR TO DIGGING <br />CALL 259 8811 FOR INSPE( <br />SEE SKETCH ATTACHED <br />CHART NO._____ <br />Utility Account No. __ <br />Il W1136 2146PM 000RII0344 $M <br />Permit Fee_ <br />30.00 y <br />00001615f1 <br />Connection Charge(s)_ BLW.I 33010019 <br />E 4,UI ¢1S.I70 <br />Total Fee <br />eLDO 30:4&W <br />PLBO 120.00 <br />IfECH 119.50 <br />WI M1' 120.00 <br />i1 XW5673 <br />%WM $30.00 <br />Signed__ <br />Itfi1111 til0_OIl <br />c" tl19@mb'+151 <br />WILD 160.00 <br />cHrCK 1738.SD <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, IN <br />Approved By Al2RED R. TML <br />Cnv Engineer <br />Issued By Margaret_t McLeod <br />Inspection By <br />Date Inspected <br />-41 <br />No. 256 73 <br />INSPECTION <br />