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everen <br />e <br />City of Everett <br />n <br />Sewer Application and Permit <br />Teb. S, 1982 <br />N0. 2416$ DATE -- <br />66�9 ba��rly 81vd. 15000-� �, <br />Service Addreu _ Utility Account No._ <br />� <br />6629 Bev�rly Sl�d 30.00 I <br />Billing Address_ _.— Pern t Fee - I <br />S��r�tt. Ma. 9820� Connection Chargels) 878.95 <br />City, State, 2ip — <br />Miag�ra of Na�ainqton, Ine. 30.00 <br />Owner (Mortgagor) _ Total Fee � <br />S�r� ' <br />Billing Name -- , <br />< <br />Connection By -- � � i <br />Address ._ Signed���'� ������ � ' '� ('����' <br />c swme� <br />Phone_ 7�3-�]57 <br />load I I <br />DESCRIPTION: Sewer District --_ I <br />aat�r�A ' <br />Lot Block Monthly Sewer 5ervice -- � <br />Plat <br />Unplatted Description _ _ Monthly Sewer Constr. � <br />Permit: t1�w CO�ID�CY�Ol1 <br />Hemarks: <br />SEE SKETCH ATTACHED <br />4 <br />INSPECTION <br />Trunk ' �� 157. �0 <br />Lateral� � 9� 605. 65 <br />Abutting Lot Line lOS <br />N, S. E;.W — <br />A, �1. Th��Y <br />Approved By — <br />Cny Enqmex � <br />E. BOAA � <br />Issued 6y —_ — � <br />Inspection By - <br />Datelnspected__ <br />N0. 2`F16� <br />� <br />I� � <br />i� <br />�1 <br />r � <br />