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CHART N0. <br /> everelt <br /> e ��-� �_3--e, <br /> City of Everett <br /> Sewer App���ation and Permit <br /> � <br /> 7�nquet 8, 1980 <br /> No. 23688 DA7E <br /> 5430 A G B Seahucat �tility Account No. <br /> ].4755-3 <br /> Service Address 30.00 — <br /> 6916 Tivergreen aaq Permit Fee <br /> Billing Address 387.6� I <br /> 6verett, iia. 98203 Connection Chargels) <br /> City, State, ZiP 30.00 <br /> Total Fee � <br /> Puqet Sound Propertie• 'I <br /> pwner (Mortgagor) e=ties I <br /> pag�t Soand Prop Ordinance S 6G9-00 �50.0 <br /> Billing Name 7�rea AS 9J <br /> sa�e 'i �i 'I / <br /> �_ �r 7 � <br /> Connection By : ,i �� f�r ���C , ' � <br /> i -�' <br /> Signed Cus�amer <br /> Address <br /> 355-9100 1g IIond II � <br /> Phone I <br /> Sewer District I <br /> DESCRIPTfON: Hetared <br /> Lot�— B�ock Nlonthly Sewer Service <br /> � Seahurst EaEat�e <br /> Plat Monthly Sewer Constr. �, <br /> '� Unplatted Description 1.71 387.GO I <br /> Trunk <br /> —�— Yuw Connaetion I� <br />' ' i Type Permit: Lateral � <br />� — Abutting Lot Line ! <br />� � Remarks: 114 ft. <br />, N ' S, E, W I <br /> � <br /> � � <br /> g, Harren � <br /> qpproved By I <br /> City E�g��eer <br /> � — E. Bond <br /> I <br /> Issued BY---- I <br /> —_ <br /> Inspection B���`� <br /> i. i/- �D <br /> Date I nspected / � �� <br /> No. 23688 <br /> SEE SKETCH ATTACHED <br /> INSPLCT'ON � <br />