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/ <br /> CHART NO. � � � `�� '� � <br /> everett 1� � � �i ���' <br /> � L� S � r <br /> � J <br /> �"L , ��" � � <br /> Ciry of Everett � ��� SO <br /> I <br /> I Sevver �hpplication and R'prmit � <br /> , <br /> 4j9/8Q I <br /> I NO. Z�H1Z DATE I <br /> C04 Vnralenn Nay 5.41. 763F9-8 ! <br /> Service Address Utility Accou�t No. <br /> Billing Address ez6 5.E„ EverntG Mall Way Permit Fee_32M — <br /> �•erett, Was:uinaton 98:t04 Connection Chagels) 2�0.00 <br /> City, State, Zip__ — <br /> ,,,,,� Total Fee 30.00 <br /> pwner (Mortgagor) e x�4 rnc_ <br /> Billing Name "�*H --- <br /> Connection By , <br /> � <br /> Address Signed _ <br /> cii:tomcr <br /> 355-4492 <br /> Phone_—------— <br /> Sewcr District__— B°nd II <br /> DESCRIPTION: I <br /> ILot 113 Blork--= IJlonthly Sewer Service G.50 I <br /> Plat Vezalene 'ntatea � � <br /> Unplatted Description__ --- Monthly Sewer Constr. I � <br /> — - ----- Trunk_ 270.00 I � <br /> Type Permit: Faw Connectioa <br /> �_ateral I <br /> Remarks Abutting Lot Line '� �' <br /> I N S E W ft. � � <br /> _ - o <br /> i ' � � <br /> I � <br /> �IOC�ftlt� A. H. T7iea1 . `' �. <br /> ApprovedBY__ ' � ' <br /> Ciry E�gineer � � <br /> �o M- <br /> E. Bonfl I C � <br /> Issued B�. — � � � <br /> � �r <br /> � <br /> il , O i <br /> I .g3 <br /> Inspection By, -- - [" ; <br /> i <br /> Datel�spected _ � <br /> SEE SMETCH ATTACH <br /> ED N0. G�H�G I � �, <br /> . �, <br /> r'. <br /> u�sr�ecrio�y �� <br /> I <br />