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� <br /> CHART N0. <br /> �.: <br /> everett I ,_ <br /> e � �. , _ <br /> , <br /> c-� r! . <br /> r_� • . <br /> City of Everett <br /> Sewer Application and Permit ; <br /> 3�12�85 <br /> No. 250�1 DATE Z <br /> 0 <br /> 2110 Pine Street '� <br /> Service Address Utility Account No. r, <br /> m <br /> Billing Address <br /> Permit Fee None �� <br /> .. .. <br /> City, State, Zip <br /> Connection Charge(s) '� " <br /> .. � <br /> None N = <br /> Owner �Mortgagor) Total Fee "' <br /> v <br /> co <br /> mo <br /> � <br /> Billing Name o m <br /> City of Everett <br /> Connection By m �i <br /> Don Miller � <br /> .o z <br /> Address Signed c���om�� �n--a <br /> rx <br /> ...... <br /> Phone s `� <br /> T <br /> Sewer District � y <br /> DESCRIPTION: , <br /> Lot Block �m <br /> Monthly Sewer Service ,._„ ,.., <br /> N <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> o r <br /> c�m <br /> �N <br /> Trunk Z �, <br /> Type Permit: repair :im <br /> — Lateral D <br /> _ A <br /> —i <br /> Remarks: � Abutting Lot Line Z <br /> r . . � . N S E W ft. � <br /> � _ <br /> .. <br /> N <br /> " J � � �CT ` O <br /> ' �r� <br /> � :� . --� <br /> A.R. Theal � <br /> Approved By " <br /> m <br /> �, . �`. :'Ci.l��-.1�l;li . Ciry Engineer <br /> C.�ll lHl.��,�;. .S�l,li �OF F�" I�15�EC�i` , , ' E. Bond <br /> •' " '� ' vJAY Issued By <br /> ;;'�f�:;V,r Ld'SG!NGePltP�'"RUC pIGMT OF• <br /> I�1 CJN51"�'�''nT�' <br /> `�.L. <br /> 1, .;' :�,:r ,r `1 >��L/ /!�/r"-"' �/� • <br /> �,. Inspection By__:�—r� <br /> Date Inspected 3 %�'7 `' � �' <br /> SEE SKETCH ATTACHED No� 25041 <br /> CUSTO'A�i� Cl�P1' <br /> r <br />