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V <br /> �.�, <br /> � CHART N0. <br /> everett � �� � _ �'' , <br /> �i� .� - '"�r-7-�-�- ��-�-r __- _ <br /> e • � , : ���- ��H:`-„_ �''' . , <br /> � . � .�� � ��.lT �/�. � � , <br /> City of Everett �� <br /> - i '. ,, . / <br /> � / J .. �. � � . <br /> Sewer apphcatian and Permit SEP 2 2; l9ao . <br /> No. 23758 , 9il�ie° � <br /> DATE <br /> A 6 8 L'ady Roed Utility Account No, 14784-3 <br /> Service Address�i — . <br /> ifclsxazixaz��x�g�xttxxx sa.oo � <br /> Billing Address Permit Fee <br /> Mnryavilla, Wa. 982�� Connection Charge�s) 677. 50 <br /> City,5tate, Zip -- <br /> Owner IMortgagor) <br /> Dennie G. Carleon TotalFee 30.00 <br /> Billi�g Name &ama Ordinanca #6G9-00 <br /> Area I 322 .00 <br /> Connection BY $ame _ �; <br /> - Address _ Signedl��/ � <br /> usmmer <br /> 658-2962 � ' <br /> ' Phone — — — <br /> DESCRIPTION: Sewer District X Bond I <br /> Lot 1 Block 1 — Netered <br /> Monthly Sewcr Service � <br /> Plat Beverly Hills Div. _�i_ ' � �(J <br /> Unpletted Description __ _ Monthly Sewer Cons r./� �� <br /> r� � D <br /> -- Trunk �' 255.00 <br /> Type Permit: new Connection � p,y 2��� 4]2.50 <br /> Lateral � <br /> Remarks: 6SG` / <br /> - Ahutting Lo[ Line 40 <br /> N S, E, W it.. <br /> - -- �r. � �o� e2- <br /> fi. Warren <br /> - Approved 4Y — <br /> Gry Engineer <br /> E. Bond <br /> — Issued By <br /> . � • <br /> Inspection By —. — <br /> � __ _ _______ Date Inspected — <br /> . SEE SKETCH AITACHED N0. 2375� <br /> � I.�TILITY I�ILLING <br />