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everetl <br />e <br />Citti• of Evere:t <br />Sewer Application and Permit <br />CHART N0._ <br />N0. ZS1OO DATE H+Y 1, 1985 I <br />Service Address 3108 56th Str�et S.W. Utility Account Nu. er.���_� <br />Billing Address �408 W�Iciltw 91�d. Permit Fee 30.00 <br />City, State, Zip— �wzett. Nw. 98203 <br />Owner (Mortgagorf+=Y M+zciotra <br />Billing Name <br />Connection Bv <br />Phone �t�_a�aa <br />DESCRIPTION: <br />Lot ZO Block <br />Plat 1Cenilwrth eillr Z <br />Unplatted Description <br />Connection Charge(s) 270•00 <br />Total Fee 3a,00 <br />Osdinance l984—e3 <br />800.00 <br />Signed - <br />Cusmmer <br />SEE SKETCH ATTACHED <br />INSFECTION <br />Sewer D <br />Hond II <br />Monthly Sewer Service 6.50 <br />Monthly Sewer Constr. <br />Trunk 270.00 <br />Laterel <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By A. it. Tlieal <br />City Engineer � <br />Issued B�� E• �d _ <br />• ��"`_ <br />Inspection <br />Date Inspected_ G"�7— �r <br />rvo. 251QA <br />