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r., ;.;,-,, <br />; �� <br />i �; <br />City of Lvers�r <br />�Q��r ��pli+ca�aon ons� ��rr�a�� <br />No. 24650 DATE �� 11, 19II3 <br />9425 4th e�ano� ro�+t iFym�erNaYlUtility Account No._ <br />Service Adoress <br />300Z 4Mtaor� Permit Fee_30_00 <br />Biliing Address <br />City, State, Zip ��ett. Wa. 98201 Connection Chargels)_ <br />Citp oF Err�tt (Soath P�d 30.00 <br />Owner (Mortgagor�_ ���otat Fee_ <br />centar) <br />�itp of EVez+tt (xdi.vnc� &715-80 <br />Etilling Name ti� 2 <br />214.70 <br />Conner.tion BY -- i j . <br />_ � ,�,; ; ,..i� �,» <br />Addtess_ Signed--- <br />cu;rome� <br />zs9-asaz <br />Phone_--- --- -- <br />li_SCRIPTION: Sewer Ui=trict_ ___ __- ----- - <br />lnt --- -- Block MonthlySewerService-_---�_'-`�`� ---- <br />Plot --- — <br />Unplat:ed Description -___ _ Montnly Sewer Consv. <br />Type Permi[ <br />P�markct - <br />;?� Conaection <br />t;�:� 5!',�=T�.;�I :�itfj�:', -�� <br />Trunk___ _ _ <br />Lateral <br />Abutting Lot Line <br />N, S, E, VJ <br />_ft. <br />Approved By •l. R_ Sheal ---------- <br />City Ecy'�r.o•r <br />� - <br />... 1'cn,1 <br />Issu�d Cy- ------- <br />Ins,,,-cdon liv---- -- - <br />Date Inspected_ <br />NJ <br />�4oa:1 <br />_ <br />0 <br />� <br />r. <br />m <br />—{ T <br />.. -� <br />�m <br />0 <br />mo <br />� <br />om <br />-i z <br />S —1 <br />m <br />o z <br />c <br />D -+ <br />r= <br />M H <br />-� � <br />< <br />o� <br />�� <br />-i m <br />x <br />m �-- <br />v <br />or <br />c'� r; <br />mN <br />zn <br />-i r <br />m <br />a <br />� <br />� <br />