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CHART NO. <br /> everetl <br /> e -. ���� � � <br /> .� : <br /> � r, r <br /> , �. <br /> � i <br /> ': . ' i <br /> City of Everett � �� � ` � • <br /> , :1 <br /> i � <br /> , 1 �� <br /> Sewer Applic�ati�n and Permit <br /> N0. 24638 DATE 10/4/83 _ <br /> Service Address 3001 Paaavier Blyd. Utility Account No. 76285-6 <br /> Billing Address_ 801 Wete�r� 7lanue Permit Fee �•� <br /> City, State, Zip �erett Coa�w�ity Coll� Connection Charge(s) 2�'fl� <br /> Owner (Mortgagor) ��!°tt Ca�wunity Coll�qn Total Fee 30'� <br /> Billing Name Ordlnancs 7Z2-80 <br /> 1►cra 2 �39.00 <br /> Connection By � ' <br /> Address Signed ` , f , �' '— <br /> Custa'mer <br /> Phone 259-7151 <br /> Hond II <br /> DESCRIPTION: Sewer District <br /> Lot 13� Block Monthly Sewer Service 6.50 _ <br /> Plat V�llap Viav !1 <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk Z��•� <br /> Type Permit: Hav Oonnaction <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N g, E, W ft. <br /> Approved By �• R. Theal <br /> City Engineer <br /> E. BOIId <br /> Issued By .. <br /> i <br /> Inspection By � <br /> Datelnspected� � � <br /> SEE SKETCH ATTACHED N0. Z4638 <br /> INSPECTION <br />