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CHART N0._ <br /> everett <br /> e ���� s��.r �� <br /> CNq,��Ti�L+ ,�—/p_B� <br /> City of Everett a <br /> Sewer Application and Permit <br /> No. 25143 DATE �a yz ioas <br /> Service Addres; 9�0� lst �ive S.E. Utility Account No. <br /> Billing Address ����.�..�..�q Permit Fee 30.00 <br /> City, State, Zip v...:rtc _ra_ �u_201 Connection Charge(s) »�•� _ <br /> Owner (Mortgagor) H°Yden R�aily, Inc. Total Fee 30.00 <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> a���om�, <br /> Phone 252-1166 <br /> DESCRIPTION: Se�ver Dis[rict Bond zII <br /> Lot l4 Block 6,50 <br /> Plat Snnrida� Div. II Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk 730.00 <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By n• R. Theal <br /> Ciry Engineer <br /> Issued By E. Sond <br /> — / <br /> I�spection By <br /> Date Inspected ��� <br /> SEE SKETCH ATTACHED NO. 25143 � <br /> ;NSPEC710N <br />