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CHART N0. <br /> ever�ttl ' <br /> e <br /> City of Everett <br /> Sewer A.pplication and Permit <br /> No. 25085 DATE 4�Z2/85 � <br /> Ser.ice Address <br /> x'�� �� Utility A�count No. � <br /> Billing Address <br /> 1611 E'hre-! At�nae permit Fee 2.50 _ <br /> E�►sraet, Ns�leinqton 90201 Connection Chargels)_ H r, <br /> City,State, 2ip H � <br /> E+rerott Masonic Qorp. Total Fee 2•50 .+ � <br /> Owner IMortgagor) u' <br /> Billing fVame � <br /> � � <br /> Connection By _ H <br /> Addf055 _ S�9ned Customer f� 2 <br /> Phone 252-1212 � � ' <br /> � <br /> DESCRIPTION: <br /> Sewer District._ I � � <br /> Lot 2� Block 612 Monthly Sewer Service � <br /> Plat ��r'• lst � <br /> Unplatted Descr iption Monthly Sewer Constr. � <br /> Trunk � <br /> Type Permit: CaP-cft � <br /> Lateral <br /> Remarks: 3 � f e�,�,� ���1 � Abutti��g Lot Line � <br /> � N, S, E, W ft. <br /> � <br /> H <br /> N <br /> %� �,,,3 r a-�c.� APProved BY 71. R. Theal � <br /> I Cny Engineer � <br /> Issued By F' �� <br /> ' � �16s�ricirBv �� 9,....�— � <br /> Date Inspected S �""_ F �- __ i <br /> SEESKETCH ATTACHED <br /> No. 25085 I <br /> INSPLCTION <br />