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CHART N0. <br /> i evereR <br /> e <br /> City of Everett �°�r�n _6-3-�.r <br /> Sewer Application and Permit � �� 1 <br /> 5 <br /> No. 23981 DATE �t-e-el _ <br /> Service Address. 8006 21Ch Dripe S.E. Utility Account No. �6069-� <br /> ��nn� 8.l. — <br /> BillingAddress_ 9all�p Vier Al�ocial�s permitFee 30.00 <br /> 8��r�tt. Ma. 98201 270.00 <br /> City, State, Zip Connection Charge�s) <br /> Vall� Vi�r Esrociat�• �0.00 <br /> Owner (Mortgagor) Y Total Fee <br /> Billing Name 8a�� ordinaac� �722-80 <br /> 8i� 71r�a 2 339.00 <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone �3i-7608 <br /> DESCRIPTION: , 26 eond II <br /> Sewer Distric, <br /> Lot 6 Block S,lo <br /> Plat Vall�p Vi�r Di�. 2 Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: p�w Coaa�etion <br /> Trunk 1.15 370.00 <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> ------ N, S, E, W ft. <br /> _ )!. R. Tbaal <br /> Approved By <br /> ,_ Ciry Engineer <br /> Issued By E. eond <br /> Inspection By L <br /> Date I nspected_ /Yl/�'Y 8� <br /> SEE SKETCH ATTACF4ED NO. 23981 <br /> INSPECTION <br /> �- — <br />� <br />� <br />