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CHART N0. 5 /�-� S <br /> everett <br /> t <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> No� 25199 DATE July 30, 1985 _ <br /> Z <br /> 2717 colby Utilit Account No. –�'i <br /> Service Address � <br /> Permit Fee S�Y�H None m <br /> Billing Address - " <br /> City,State, Zip Connection Chargels) .1� <br /> None '" '� <br /> Owner (Mortgagor) Total Fee D m <br /> co <br /> m o <br /> Billing Name ,�� <br /> oa <br /> City of Everett �^ <br /> Connection By = '.Z� <br /> Don Miller m <br /> Address Signed o z <br /> Cusrorrwr � � <br /> r x <br /> Phone " " <br /> -� �n <br /> < <br /> DE$CRIPTION: Sewer Districi o x <br /> Lot Block_. Monthly Sewer Service_ _ � <br /> Plat r' in <br /> Unplatted Description Monthly Sewer Constr. o m <br /> C N <br /> Trunk m '^ <br /> Type Permit: Repair �� <br /> Lateral ' '^ <br /> a <br /> � <br /> Remarks: 'i <br /> Abutting Lot Line � <br /> � � �...-,� N, g, E, W— ft. z <br /> � <br /> ' ,�3c4��' l " -�- �O ti <br /> J/�s�,«��� / 7 � z <br /> i <br /> 0 <br /> � �"/o ' �� [✓- A. R. Theal � <br /> -� �a•-- Approved 9y n <br /> �—i � / �/' � C�tV Enginen m <br /> � L��. <br /> .. E. Bond <br /> Issued By — <br /> � � � <br /> . <br /> S, . :, .1�� ��, u <br /> Inspection By16.�'-�-����� <br /> Date Inspected � 1 – �S <br /> `� r�� SEE SKETCH ATTACHED N�� 2 5].9 9 <br /> .,i�. <br /> ; ,, �, pV <br /> '' �LI <br /> � CUSTOMER COPv" <br />