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CHART NU. _ <br /> everett <br /> e <br /> City of Everett <br /> CUP�E.J SEiLT Fa.2 CY✓9/_�%i�/!r <br /> v.zv s� <br /> Sewer Application and Permit <br /> No. 25123 DATE �Y 2�. 1985 L <br /> Service Address 9/08 l�t Drin s.E. Utility Account No._ <br /> BillingAddress �}��g � - PermitFee ae_oe <br /> City,State, ZiP �..++.i� �nhior�ton 98�03 Connection Charge�s)_ o�n_on <br /> Owner (Mortgagor) �7�n Realty, Iac. Total Fee 7�•00 <br /> Billing Name <br /> Connection By <br /> /'.ddress Signed <br /> Custamcr <br /> Phone �52-1166 <br /> DESCRIPTIUN: Sewer District eond III <br /> Lot_ 13 Block <br /> Plat r�...��d���, � Monthly Sewer Service 6.SO <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk y,�p,pp <br /> Type Permit: �, rA^�M'��M <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By A. R. Theal <br /> Ciry Engineer <br /> issued By E. anIId— <br /> t <br /> Inspection By n� <br /> Date lnspected �i"Z��FJ� <br /> SEE SKETCH ATTACHED N0. 2512�` <br /> INSPECTION <br />