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i <br /> _, <br /> � CHART N0. <br /> � everett � <br /> � � <br /> � <br /> I <br /> - i City of Everett <br /> � Sewer Applicati�n and Permit <br /> i <br /> N0. ZqG4G DATE __ A�s�82 _ i <br /> I G03 Vera2ene Bay 5.6. 76143-7 <br /> I Service Address ____ Utility Account No. <br /> 8T6 s, .i. Everett Mall tray permi[ Fee 30.00 <br /> 9illing Address _ - <br /> EvcretY, Wa. 9820d Connection Chargc�s) ���0.00 i <br /> City,Statc, Zip � <br /> Iiillin tiomees Inc. 30.Uo � <br /> � Owner (Mortgagor) Total Fee <br /> Same <br /> Billing Name <br /> 5ame � <br /> � Connection By i <br /> Address _ Signed __ <br /> c�,:�am�, <br /> Phone 355-4492 i <br /> Bond II � <br /> OESCRIPTION: Se�rer Dist�ict _ � <br /> Lot 1z9 Block 6.50 � <br /> I Plat <br /> Veralene Estetus Monthly Sawer Service _ , <br /> Unplatted Description Monthly Ser�er Constr. <br /> Tr¢nk 1.15 <br /> Type Permit:»ew Connactian — � <br /> Lateral I <br /> Remarks: Abutting Lot Line �I <br /> N, S, E, W ft. <br /> __ <br /> � <br /> A. R. Theal � <br /> Ap�irovea By <br /> City Engineer , <br /> E. Aond � <br /> _ _� I�:sued By 1 <br /> I <br /> Inspectian8y � ���� LL'�- � <br /> _ Date Inspected �5 ^•'-�S ���-� <br /> � SEE SKETCH ATTACHED NO. G42Y& ' <br /> I <br /> �� IFI;�=ECTION '(�p51Ep �°i��au-�^��- <br /> , <br />