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everett <br />� <br />City of 'verett <br />Sewer ,�4ppli�catior� and Permit <br />N0. 24J3,2 DATE SePtember 14, 1994 <br />Service Address �023 Lower iiidy�s ltuad <br />Utility Account <br />Billing Address 530'7 139L•h. Avnaam 9.E. <br />City, State, Zip Snobaeish, Y7a. 98290 <br />Owner ( <br />D. G. i3randvold <br />Billing Name <br />Connection By <br />Address <br />Phone 568-9352 <br />CHART <br />'�'✓.i/ f .�YJ/ %� :�lp�A� <br />�- ��- sb � <br />76422-5 <br />Permit Fee 30.00 <br />Connection Charge(s) 600.00 <br />Total Fee 30.00 <br />Signed <br />Customcr <br />DESCRIPTION: <br />�ot S§ of 24 Sewer District <br />Block <br />Plat Hevezly Acreaae RYacts Monthly Sewer Service. <br />Unpiatted Description Monthly Sewer Constr. <br />Type 'ermit: tiew Connect3cm <br />SEE SKETCH ATTACHED <br />BonB I <br />6.50 <br />Trunk 110.OU <br />Lateral 490, 00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved By A. R. Theal <br />City Enginecr <br />Issued By <br />Inseection B <br />)ate I nspect� <br />INSPECTION <br />:� <br />:4���._ . �h". <br />S. Bond <br />rvo. 24�32 <br />H H <br />H �*1 <br />�� <br />� <br />�� <br />� <br />H <br />7 <br />t" S <br />H H <br />�� <br />O� <br />�H <br />� <br />� <br />� <br />� � <br />� <br />� <br />H <br />� <br />y <br />H <br />n <br />C�] <br />