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CHART NO. � '�� y� s <br /> everett <br /> � � ���� ��� <br /> _��_ �i;. /!'' 2 ?�, �'r <br /> City of E�rereu (,�,cv,Si%� <br /> Sewer Ap��ication and Permit <br /> N0. 24922 DATE B�Z��84 <br /> Service Address 10A20 lOth Drtve S.E. Utili[ 76415-9 <br /> y ..ccountNo. _ <br /> F3illing Address 624 91at Place S.W. Permit Fee � 30.00 <br /> �r � Rverett, Wa. 90204 330.00 <br /> City, State, Zip Connection Chargs(s) <br /> IOwner (Mortgagor) �� Ieaacson _ Total Fee 30.00 <br /> I Biliing Name — Ordinance g84-83 t3o0.00 <br /> Connection By � ' <br /> i � <br /> � % <br /> Address Signed i' i -- - - '- <br /> �7 Customer <br /> Phone 745-9S76 � <br /> DESCRIPTION: Sewer District eond ZII <br /> L�t 35 BI��� Monthly Sewer Service 6.50 <br /> Plat Fir-Evere <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk 330.00 <br /> Type Permit: New Ccennection <br /> Lateral <br /> Remarks: <br /> Abutting Lot Lir.e <br /> N, S, E, W ft. <br /> -- Approved By A. R. Theal <br /> Ciry Enginezr <br /> E. Bond <br /> Issued By <br /> , <br /> � <br /> ♦ <br /> Inspection By <br /> _ _ Date Inspected�� <br /> SEE SKETCH ATTACHED N0. L4�G� <br /> INSPECTIUN <br />