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CHART NO. U 3S'2�'`� <br /> �'.�_ <' �-gl <br /> evereft <br /> � �c55�E� �I-' 1 S'g � <br /> City of Everett � <br /> � <br /> Sewer Application and Permit ' <br /> DATE 10/10/80 <br /> N0. 2377� 76021-6 <br /> Service Address �91� =�=a ,��nn� M��t Utility Account No. <br /> 9310 E��sqze�a Nay � 30.00 <br /> , ermit Fee_ <br /> Billing Address Z55.00 <br /> lnz�tt, Na. 9820� Connection Chargels) <br /> City,State, Zip 30.00 <br /> 08Cenn�r i O��lss Total Fee <br /> pwner (Mortgagor) Ordinanc• f669-BO <br /> O'Cona�r s OeIIl�r �=•a 5 500.00 <br /> Billing Name —' <br /> Connection By <br /> lcs� <br /> Addfe55 Signed Customer <br /> Phone 3S3'�»00 _� <br /> Sewer District �� Boad IZ <br /> DESCRIPTI`N: g,10 <br /> Lot Block Monthly Sewer Service <br /> Plat Gs�aada �►i�v Lstat�� il <br /> Unplatted Description Monthly Sewer Constr. <br /> 1.IS 255.00 <br /> Trunk <br /> Type Permit: s�� Conn�eeien I_ateral — <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W <br /> A. Narr�n <br /> qpproved BY Ciry Engineer <br /> g. Bond <br /> Issued By <br /> Inspection B���'�� �'��""`-- <br /> Date I nspected �-����� - <br /> SEE SKETCH ATTACHED N�• Z3 T�5 ���, <br /> INSPECTION <br />