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. � <br /> r '� <br /> CHART N0. <br /> everetl - � <br />� e . _ � <br />�, w� <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 25017 DATE Januar� 29. 1985 <br /> Service Address�4�---''"a� — Utility Account No. 16259-� <br /> ��» v... etree�_— Permit Fee 3� �� <br /> 8illing Address - -- - — <br /> City, State, Zip <br /> F ++ kA ou�Ot _ Con�:ection Chargels)�4,�^.9 <br /> ' Total Fee SO 00 <br /> Owner (Mortgagur) li l�rifle - <br /> �� � Capital Improvemcnt 746.95 <br /> Billing Name gg,_g; 13G8 sf x .546 <br /> Connection By Sn�e — __ <br /> Address_ �217 Yer St*�.��t Signed I <br /> f customer <br /> IPhone '�53 6A7S — I <br /> DESCRIPTION� Sewer District <br /> Lot 28"Z9 Block 13 Monthly Sewer Service — � <br /> I <br /> Plat —. Replat of Pin�hurst <br /> Unplatted Description Monthly Sewer Constr. <br /> 1'runk _��� <br /> Ty�e Permit: N�o�r conneetior. <br /> Lateral <br /> Remarks: Abutting Lot Line i <br /> N S E W ft. <br /> i <br /> � <br /> � <br /> Approved BY I� <br /> ;, �� <br /> Issued By � <br /> � <br /> �-- �D . �i <br /> Inspection By11� �, ' <br /> Date I nspected z '��V I <br /> .:EE SKETCH ATTACHED N�• L`���� <br /> �I <br /> INSPECTION I J <br /> � - <br />