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CFIART NO. <br /> everett <br /> eAn���9 � <br /> City of Everett <br /> Sev�er Application and Permit <br /> NO. 252,3T DATE �Pt�wter 5, 1985 <br /> Service Addressll]Ol 3rd 71wnu� S.E. Utility Account No. <br /> Biliing Address P.O. Bo: 3085 Permit Fee 30•Q� <br /> City,State, Zip tsutc��Fw_ 4sitl Connection �harge�s) __ <br /> Owner (Mortgagor) �+�p p�citic nrr. Co. Total Fee 30.00 <br /> Billing Name <br /> i i. <br /> '' 1'. . <br /> Connection By �_/'" ' <br /> �; i 1 :: .�i�,�„t <br /> Address Signeti (�''�' � '" � � <br /> Cusromer <br /> Phone 329-•5656 <br /> I <br /> DESCRIPTION: Sewer District a°°d II= <br /> Lot Block <br /> Plat Monthly Sewer Service_ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk ; <br /> Type Permit: <br /> Lateral <br /> Remarks: � ����M � <br /> Abutting Lot Line <br /> N, S, E, W ___ ft. <br /> � <br /> Approved By �• R. Theal � <br /> City Engineer i <br /> � <br /> Issued By E. Dond ; <br /> I <br /> � , <br /> Inspection By <br /> Date I nspected �` `�'' <br /> SEE SKETCH ATTACHED NO. 2523T <br /> INSPECTION I <br />