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` <br /> � <br /> CHART NO. <br /> everett I <br /> e Pos<<.� � <br /> S -�q - gZ <br /> City of Everett � � <br /> r <br /> Sewer Application and Permit <br /> rvo. 24224 <br /> DATE / I <br /> �eisa—o <br /> Service Address 118 S.L. Everett Hall way Utility Account No. I <br /> P.O. Aox 2175 40.00 I <br /> Billing Address — Permit Fee <br /> Everatt, L9a. 98266 422.40 <br /> Connection Charge�s) <br /> City, State, Zip 40.00 <br /> Owner (Mortgagor) <br /> olin Construction Inc. Total Fee i <br /> Ordiaance P715-80 � <br /> Billing Name Samo _ I <br /> pp�8 2 639.00 <br /> Connection By - <br /> �' � <br /> Signed <br /> _ _. .,. <br /> AddfE55 Customcr <br /> 337-3451 <br /> Phone I <br /> Aond ZIZ i <br /> DESCRIPTION: Sewer District j <br /> Lot 1 Block Metered _ I <br /> Broadway Crest MonthlySewerService <br /> Plat i <br /> Unplatted Description Monthly Sewer Constr. i <br /> 2.68 422 .40 i <br /> Trunk I <br /> Type Permit: Nea Connaction and catch basin � <br /> Lateral <br /> i <br /> I <br /> Remarks: Hukiltea water Abuttin Lot Line 96 ! <br /> �S [ W ft. <br /> I <br /> i <br /> A. R. :heal I <br /> APProved By j <br /> City Eng�neer <br /> L. IIORd I, <br /> Issued By � <br /> � <br /> � <br /> ��/ � <br /> � ' <br /> ' �i �'/' � ..9/�-- <br /> Inspection By - - I <br /> �"-- /y.' , � <br /> Date Inspected — <br /> EE SKETCH ATTACHED No. 242�ar II <br /> S � <br /> � <br /> IPISFL"L'1'ION I <br /> l <br />