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CHART N0. <br /> everetl �- � � � �� �� � D <br /> e ���..q ,�, ,seo <br /> .........................._................................._ <br /> City of Everett CITY Of EVERETT <br /> Public 1�Jorl:s Ucpt. <br /> Sewer Application and Permit <br /> 3nl�eo <br /> No. 23541 DATE <br /> 311d Pine Strest Utility Account No. <br /> Service Address_— <br /> 1310 Pacific Room 10 PermitFee a.50 <br /> Billin� Address <br /> �rerett, Wa. 93201 Connection Charge�s) <br /> Cit�r, State, Zip 2.�� <br /> M D E Partnerships Total Fee <br /> OwnPr (Mortgayor) <br /> M D fi Partnershipa <br /> Billing ��"^�^ <br /> Connection By <br /> Signed �e� �5476 <br /> �� Address Customer <br /> 252-G300 <br /> Phone <br /> DESCRIPTION: Sewer District <br /> � Lot z� Block-749 Monthly Sewer Service <br /> Plat �rett Lnnd Co's lst <br /> � Unplatted Description Monthly Sewer Constr. <br /> .� <br /> Trunk <br /> � Type Permit: 3114 Pine 6treet <br /> Lateral � <br /> � Remarks: C8P-off <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> �, � �� tt. Harran <br /> Approved By <br /> � Ciry Enginecr <br /> E. Bond I <br /> Issued By I <br /> � S�F.�' I vN Y✓I )'� � <br /> , -C <br /> Inspection By � <br /> Date Inspected — <br /> SEE SKETCH ATTACHED No� 23541 <br /> WSPECTION <br /> i <br /> 1. <br /> � <br />