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-� <br /> CHART N0. � ' <br /> everen _ ( <br /> e ��f- � <br /> , , � <br /> City of Everett <br /> Sewer Appiicc�tion and Permit <br /> No. 25138 DATE 6h�85 <br /> �Q�� <br /> Service Address �011 �O� Utility Account No. <br /> Billing Address �l�t Plasa—�Ist Stren[ Permit Fee 2.50 <br /> City, State, Zip �mt, ra. 4Yi4i 98201 Connection Chargels) <br /> Owner (Mortgagor) �• p• nr'+�t Total Fee 2.50 <br /> Billing Name <br /> Connection By $ill 0'Brian s Sons Const. <br /> 5037 33rd Avenue West <br /> Address t�r_gggg3 Signed <br /> $4"Cfcc Custo�nri <br /> Phone �59-6622 <br /> DESCRIPTION: Sewer District <br /> Lot �� Block 11 <br /> Plat Clis�x L�nd Co's l�t Monthly Sewer Service <br /> Unplatted Descriptiu i Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �� �„Moff — <br /> Lateral <br /> Rerr�arks: <br /> Abuttiny Lot Line <br /> �7 e9�;�o ..a H N, S, E, W ft. <br /> Approved By A. R. TM�el <br /> Ciry Engineer <br /> Issued By B• �nd <br /> Inspection By .� ������'�K <br /> Date Inspected �'�y�f <br /> SEE SKETCH ATTACHED NO. Z5138 <br />«- <br /> INSFECTION <br />