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CHART NO. <br /> everett , <br /> � '�� ,- � � � I _ � ._ � i:,._,.. -- <br /> � _ .� �' I � _ . ,. - ... <br /> City of Everett �� � ���� <br /> � ';-1 <br /> Sewer Application and Permit ; = � _ ,= ,�:�' <br /> NO. 24025 DATE July 7, 1901 <br /> 76078-5 <br /> Service Address 406 Varal�n� Way a_w_ Utility Account No. <br /> 626 South IIroadway Permit Fee =xYXX 30.00� <br /> Billi:ig Address <br /> Everatt, Washinqton 9820� Connection Charge�s) 330.00 <br /> City,State, 2ip <br /> 30.00 I <br /> Owner (Mortgagorlgilli• Homae Inc. Total Fee — <br /> Billing Name S��e — <br /> Connection By <br /> S�s¢ <br /> Address _ Signed � <br /> C�slomer <br /> Phone 355-�492 <br /> DESCRIPTION: Sewer District 36 Boad III <br /> Lot 63 Block 5.10 ii <br /> Monthly Sewer Service <br /> Plat Verwlene 8�tata■ <br /> Unplatted Description Monthly Sewer Constr. I <br /> - Trunk �•25 330.00 <br /> Type Permit: New Connectioc I� <br /> Lateral i <br /> Remarks: Abutting Lot Line <br /> N, 5, E, W ft. I <br /> I <br /> � <br /> A. R. Thaal � <br /> Approved By I <br /> City Engincer I <br /> _ j <br /> E. Dond <br /> Issued By <br /> � II <br /> Inspection By__� ' <br /> Date l nspected 7 � i�U�—� �i r ' <br /> I <br /> SEE SKETCH ATTACHED N�• Z4OZS I• <br /> � <br /> INSP[CTION ��, <br />