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� <br /> CHART N0. <br /> evered ! <br />/ I <br /> � � <br /> City t+f Everett <br /> I <br /> Sewer Application and Permit ' <br /> No. 25089 DATE _ 4�24�95 <br /> z <br /> Utility Account No. � <br /> Service Address. 19� p�=� � <br /> c� <br /> 3015 Metaor� Permit Fee Z 50 �' <br /> Billing Address I <br /> �eretl, wuhinqton 98201 Connection Charge(s) II ..«. <br /> City, State, Zip -+ '+ <br /> 2.50 <br /> Owner (Mortgagor) �O��ah �°°°�Y Total Fee N m <br /> co <br /> Billing Name_ �� <br /> � c� <br /> 1Ci�vit Con�truction � I o 3 <br /> m <br /> Connection By � _ � <br /> i ^i <br /> Signed ,I <br /> Address Cus�omer •C 2 <br /> I r � <br /> Phone 62I-9�3] —--- , <br /> =� v, <br /> DESCRIPTION: Sewer District I ` � <br /> 1�1-15 Block o a <br /> Lot �l� <br /> Monthly Sewer Service i .�m <br /> Plat �r�tt Lnd Cc'■ lat m N <br /> Unplatted Description _Monthly Sewer Constr. <br /> o m <br /> Trunk ; v`�, <br /> m <br /> Type Permit: Cap-ofi �� <br /> Lateral . m <br /> a <br /> z <br /> Remarks: Abutting Lot Line � <br /> N S E W ft. ��, z <br /> - I -� <br /> � <br /> I N <br /> Z <br /> A.A. Theal � <br /> Approved By � � <br /> City Engmeer C') <br /> m <br /> l�/ � / F.. Bond �, <br /> 'c / N • .�v�- ' <br /> � � Issued By �, <br /> � ��'�'� � - <br /> � $v <br /> Datelnspected � �-� � <br /> SEE SKETCH ATTACHED N�• Z5OP9 i <br /> I <br /> ��d[,PCCT�J�� i <br /> l <br />