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� <br /> CHART N0. �� � "��' y <br /> everetj <br /> � - -� <br /> City of Everett <br /> ���� � � <br /> Sewer Application and Permit �'rJ <br /> 23619 'W'° `, 19� <br /> N0. DATE <br /> 5206 S�ahnr�t 1i72{-9 <br /> Service Address Utility Account No. <br /> Billing Address <br /> 13900 IBth Dri� S.E. permit Fee ��'� <br /> Snohwish, Ka. 98390 Connection Chargels) 686.28 <br /> City, State, 2ip <br /> Jule D�velopw�nt 30.00 <br /> Owner (Mortgagor) Total Fee <br /> Billing Name Jade Aevelop�ent, Ine. <br /> Connection By S� <br /> Address Signed <br /> CuTtomer <br /> � 7�5�4�0 <br /> Phone <br /> DESCRIPTION: Sewer District 19 Lond II <br /> Lot Biock Monthly Sewer Service ��d <br /> 3-P 1202 �� 79 Lot 2 <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk 2'Z8 250.40 <br /> Type Permit: �� ��tion <br /> Lateral1.14 �27.80 � <br /> i Remarks: Abutting Lot Line 76 <br /> IN, g, E, yy it. <br /> � � <br /> i <br /> i tt. warron � <br /> �� Approved By � i <br /> � Gry _�gineer i <br /> E. Dond � <br /> i Issued By ; <br /> I i <br /> I <br /> I I <br /> ;� <br /> Inspection y — i <br /> Date I nspected � �`3—�U ' <br /> SEE SKETCH ATTACHED N�� Z3617 <br /> � ' <br /> � WSPLCTIOIJ <br /> � - <br />