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CHART N0. � L'�c�''y <br /> everett � �. �' ��$7 <br /> � S�N- .—� �f/9/�T.w1G ,,�G,87 <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 25288 DATE �Pteaber 30, 19e5 <br /> Service Address 10520 Evergreen way Utility Account No. <br /> �808 L^vezqz�en Wap 30.00 <br /> Billing Address Permit Fee <br /> City,State, Zip �twz�tt, Wa. 98204 Connection Chargels�_ 3094.{0 <br /> Owner (Mortgagor) piqnaiaro' J°e Total Fee 3�'� <br /> Billing Name Ordinanoe 98<-63 <br /> 1602.61 <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone 259-t3104 <br /> DESCRIPTION: Sewer District a°°d III <br /> Lot Block <br /> Plat Monthly Sewer Service n�etered <br /> Unplatted Description ._ Monthly Sewer Constr. <br /> -" Trunk 1908.00 <br /> Type Permit: �� �o��i� <br /> Lateral 1G06.4p <br /> Remarks: <br /> Abutting Lot L}ne <br /> N, S, E; Wl 320 ft. <br /> Approved By A. R. Theal <br /> Ciry Engineer <br /> E. 6ond <br /> — Issued By <br /> � <br /> Inspection By <br /> Date I nspected !l���(�� <br /> SEE SKETCH ATTACHED N0. r• ZSZH� <br /> INSPECTION <br />