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� <br /> CHART N0. <br /> i <br /> everetl I <br /> � <br /> City of Everett I <br /> Sewer Application and Permit <br /> , _, <br /> Narewber 9 r 19D3 �;,_,�,i-,,� �; L, ._�- f;'L <br /> N0. 246G�J DATE <br /> 1829 MeCoza MaY Utility Account No._— <br /> Service Address <br /> 4729 1�7th Placa S.M. 30.00 <br /> Billing Address <br /> Permit Fee <br /> yyieonood, fia. 98036 Connection Charge(s1_-- I <br /> City,State, Zip - 30,� <br /> Owner (Mortgagor� <br /> N, eolton Total Fee <br /> S� Ordinanca b69-8p <br /> BillingName k� f 221.00 <br /> Connection By — <br /> Address Signed ' <br /> f.ustorrnr <br /> ��5—Sl�Z <br /> Phone — <br /> DESCRIPTION: Sewer District ----- i <br /> �ot �l Block Monthly Sewer Service <br /> Plat �°t ��= I <br /> Unplatted Description Monthiy Sewer Constr. <br /> Trunk <br /> Type Parmit: � cO^�ection <br /> La teral I <br /> Remarks: qbutting Lot Line �rthend I <br /> fL � <br /> - - _ fJ, 5, E, W i <br /> � <br /> i <br /> � <br /> l�. R. Theal I <br /> Approved By ; <br /> Cily Engmeer <br /> E. Sond II <br /> Issued BY <br /> - �� .� (�'6 / <br /> — � Inspection By,� a e n°� i <br /> Date I nspected /'�b` <br /> SEE iKETCH ATTACHED NO. 2�p65 % <br /> i <br /> i <br /> Itl;PFCTION ( <br />