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CHART NO. <br /> everetl <br /> e PS,E� <br /> City of Everett <br /> ro-¢-8l <br /> Sewer Application and Permit <br /> N0. 24092 DATE 10/6/B1 <br /> Service Address �02 11��! Ca�ino Road Utility Account No. 1�902-1 <br /> 655 106l6 A��r.n• North�a�t 190.00 <br /> Billing Address ��Z., Permit Fee <br /> City, State, 2ip e�ll��n�, Mashlnyton 98009 Connection Chargels) �.191.10 <br /> Owner (Mortgagor�TL• Ma�ll�r Cronp Total Fee �90.00 <br /> Billing Name 8��� <br /> Connection By ga�� <br /> Address Signed Chack �0)�010 <br /> cu:tomer <br /> Phone �S�-S�S� <br /> DESCRIPTION: Sewer District �6 8end II2 <br /> Lot Block Mat�r�d <br /> Plat Monthly Sewer Service_ <br /> Unplatted Descriptior� �30' ■ ei N {9S' N8; ol NMy Monthly Sewer Constr. <br /> 1] 7BN 1 EMN 0.090 1+54.00 <br /> Trunk <br /> Type Permit: Ner Cone�etlon •nd Catch B�sins — <br /> Lateral '��� 17]9.10 <br /> Remarks: <br /> Abutting Lot Line <br /> �fJ�S, E, W 330 �t <br /> Approved By �• R. lhaal <br /> Cfly Engme�y <br /> 6. BOOI� <br /> Issued By _ <br /> .�-- ��" /� <br /> Inspection By /��c � <br /> Date Inspected—�,�'��� �y �� �`�i � <br /> SEE SKETCH ATTACHED � �. 2409 <br /> INSPECTIGN <br /> I <br />