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'V06 <br />everett <br />,.e <br />City of Everett <br />Sewer Application and Permit <br />No. 23388 11/1�/79 — <br />DATE <br />Service Address 2231 a. a E uoorm awnw <br />2E02 Paeifie 1YwaM <br />Billing Address -- <br />Ereeett, Eouhingtm "201 <br />City, State, Zip <br />Owner (Mortgagor)Csai9 Dummy Ooeatsnation <br />Billing Name craLf sw�f coastruatim <br />Connection By CM19 EWAWr CuaatitWtiM <br />Address 2802 Paeifie nwo�ea <br />252-2117 <br />DESCRIPTION: <br />Lot ]0-31']5 Fllock 2S <br />Plat V18*h aet Div. 'E` <br />Unplatted Description <br />T...... 0n....:.. tliiiiiiiiis stiY�l�.r <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO. C - <br />Utility Account No. 14533 <br />Permit Fee 30.00 <br />Connection Charge(s) 635.00 <br />]0.00 <br />Total Fee <br />Signed <br />Customer <br />INSPECTION <br />2] Eaad II <br />Sewer District <br />Monthly Sewer Service mtesrd <br />Monthly Sewer Constr. <br />1.15 240.00 <br />2.25 "S.00 <br />Lateral <br />Abutting of Line 751 <br />N,d E, W <br />H. Marron <br />Approved By <br />City Engineer <br />E. Bond <br />Issued By. <br />r <br />Inspection By <br />Date I nspected <br />No. 23388 <br />W <br />1 <br />