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e <br /> � CHART NO. , <br /> � everett � <br /> � i <br /> i f �S�iD I <br /> � ��L�/SZ i <br /> � City of Everett � <br /> I <br /> I <br /> �, Sewer Appli�eation and Permit <br /> I �'�'°Z — — <br /> No. 24243 DATE I <br /> 403 VcralQne Way S.B. Utility Account No. �E144-5 �i <br /> Service Address — I <br /> 626 S.C. Evarett Mnll Way permit Fee 30.00 <br /> Billiny Address <br /> Enerett, Waehin9ton 98204 Connection Charge(s) 2�0•00 _ <br /> ' City, State, Zip -- I <br /> � Billie tionea Inc. To[al Fee 30.00 <br /> , Owner (Mortgagor) <br /> I� Billing Namc Same __ <br /> I <br /> i Connection By Same — � <br /> � Address _ Signed — I <br /> Customcr <br /> Phone 355-4492 -- --.- � <br /> Pond II �I <br /> li DESCRIPTION: Sewer District -- <br /> i Lot 5� Block— 6,50 I <br /> Monthly Sewer S�;vice <br /> � Plat Veralene Estetes <br /> Unplatted Desc+iption_ _ 1,1onthly Sewer Constc I <br /> i — <br /> Trunk 1.15 270.00 <br /> Type Permit: New Connection <br /> Lateral I <br /> � Remarks: Abutting Lot Line I <br /> � _ N. S� E, N1 `t. j <br /> I <br /> � A. R. Theal � <br /> — Approved d�-_ � <br /> G�V Eu9lnccr <br /> � L'. Donc� I <br /> � — Issued By—— --— � <br /> i !/� �� <br /> / ' i <br /> i — �'-�� � � <br /> - Inspection [�y-�'� � � — � _I <br /> i � <br /> i -- `-' � :�� � � � I <br /> i ____ ____ Date Inspected _ - <br /> � SEE SKETCH ATTACHED N�' ZQZ4J i <br /> � i <br /> � INS�'L�7lON � . <br /> , - <br /> _.� <br />