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0 <br />A <br />i <br />fil <br />� <br />, <br />J <br />_.., <br />CHART N0. M 5-28—.5 <br />everetl <br />� <br />City of Everett <br />Sewer Application and Permit <br />N0. 24615 DATE e/15/83 �U`Jye� <br />/a � �� 2sPs� <br />Service Address ��Y Utility Accaunt No. <br />Billing Address 5924 Colby Permit Fee 10.00 <br />City, State, Zip E��rett, Na. 98203 Connection Charge�s) <br />Owner �Mortgagor►�r�=ett Golf anQ Conntry Club Total Fee 10.00 <br />Billing Name <br />Connection By_ <br />Address _ Signed <br />Cus.omer <br />Phone 353-7028 <br />CESCRIPTION: Sewer District <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: Alt�ratioa <br />Remarks: <br />� <br />��� <br />SEE SKETCH ATTACHED <br />7- <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />:1'-�oY• A. R. Shaai <br />Approved By <br />City Engineer <br />Issued Bv <br />E. Bond <br />INSPECTION <br />.. o ,1 ,�P w <br />Date Inspected <br />N�� 24615 <br />— —� <br />