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evereH <br />e <br />City of Everett <br />LPL 11211 <br />Sewer Application and Permit <br />NO. 25634 DATE <br />Service Address_ <br />115 - 91rd St SS <br />Billing Address <br />1429 Braadray <br />City, State, Zip <br />Everett, NA 98201 <br />Owner (Mortgagor)_ <br />Boyden Rfii <br />Billing Name <br />Bane <br />Connection BY-1-9 <br />D Baildera <br />Address 1429 <br />Broadray, 2"rett 98201 <br />Phone_ 252-1166 <br />DESC. .IPTION: <br />Lot— 64 <br />Block <br />Plat Sunridge, <br />Div. IT <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />May 2, 1996 <br />Utility Account No. <br />)61t -b charl-I. �J <br />-/2Y. <br />Permit Fee 20,00 <br />Connection Charge(s) 330.00 <br />Total Fee 30.00 <br />Signed <br />cWtomer <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ALr= R. '1TEa11L <br />City Engineer <br />Issued By Mar9arot R Moleod <br />Inspection By h <br />)ate Inspected %'3y-eLn <br />No. 25634 <br />INSPECTION <br />