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CHART N0. <br /> evereft <br /> e <br /> City of Everett <br /> Sewe� Application and �ermit <br /> NO. 2521,� DATE rngust 14, 1485 <br /> Service Address 5�� s�Y Utility Account No. <br /> Billing Address 207 188Lh N r _ Permit Fee 30.00 <br /> 11r1ioqWn 600.00 <br /> City, State, Zip �[- Na�i..�^� s� gg��; Connection Charge(s)_ <br /> Owner (Mortgagor) Ja�rs Ca� Constrnction Total Fee_ 3C.00 I <br /> Billing Name ordinanca 9iN-83 <br /> 800.00 <br /> Connection By <br /> /.% <br /> Address Signed_ �' <br /> Customer <br /> Phone 652-8239 <br /> DESCRIPTION: Sewer District �'d I <br /> Lot Block— <br /> Monthly Sewer Service 6,50 <br /> Plat <br /> Unplatted Description �.�a c Monthly Sewer Constr. <br /> Trunk 110.00 <br /> Type Permit: � ��ti� <br /> Lateral 490.00 <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> i <br /> � <br /> Approved By A. R. '1'Heal s <br /> Ciry Engineer ! <br /> Issued By �• HOTfd <br /> � <br /> � <br /> Inspection By <br /> Date I nspected %n -Z$ -`t�'? <br /> SEE SKETCH ATTACHED NO. 2JZ1,7 <br /> INSPECTION <br />