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r <br />r <br />L <br />CHART NO <br />evereH <br />� <br />City of Everett <br />Sewer Application and Permit <br />�_.�. <br />NO. 24284 DATE June 1, 1982 �os•tcJ I I _q - <br />�004 Nas�au Street <br />Service Address Utility Account No. <br />225 S�aAinge 3^. �0 <br />Billing Address <br />Permit Fee <br />Everat�, Ws. 98203 Connection Charge(s) <br />City, State, Zip 30.00 <br />Coucin� Const. Co. Total Fee <br />Owner (Mortgagor) — <br />Billing Name <br />Cou�ina Conat. Co. <br />Connection By <br />347-�500 <br />DESCRIP�ION: <br />Lot Block <br />Plat tta�aau Vi�r Tracte <br />Unplatted Description <br />� . �.___... uwv cnnnection <br />Signed Cnsmmer <br />Sewer District <br />Monthly Sewer Service. <br />Manthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W <br />Nozthand it. <br />A, 8. Theal <br />Approved By <br />Ciry E�B��eer <br />E. Bond <br />Issued By <br />INSPECTION <br />Inspection By ^ " - - <br />Date I nspected � � -' '� - � <br />No. 24284 <br />� <br />J <br />�' J <br />