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CHP.RT NU. — <br /> _ . ,, . . <br /> i <br /> � <br /> Ieverett <br /> � i <br /> City of Everett I <br /> I i <br /> 5ewer A�apli���io� ��d Perrr�it ; <br /> March 13, 19B4 � <br /> No. 2478 4 DATE i <br /> 76353-2 � <br /> 10605 lOth Dzive S.E. Utility Acca�nt No. I <br /> I Szrvice Address —�-- 3�•Q�— I <br /> 1309 114 Avenue S.E. #110 permitFee j <br /> Billing Address 330.00 � <br /> �3ellewe. Wa• 980U4 �onn�ction Chargels)� <br /> City, S[ate, Zip— 30'� II <br /> gtandard Paeific t1.W. Cesp. Total Fee <br /> I Owner (Mortgagor) pr�nance s 715-80 339.00 � <br /> �� tirea SZ <br /> Billing Name <br /> I <br /> Connection By `• � � <br /> , <br /> _ SI(Jn@d � � Cuslomer ' <br /> Address � <br /> 455-15:i0 ___ F:cnd IIZ <br /> Phone <br /> Sewer District j <br /> DESCRIPTION: 6.50 I <br /> Lot Zz Block_— Monthly Sewer Service � <br /> Pir-L•ver � <br /> Plat _ Monthly Sewer Constr. r: <br /> Unplatted Description 330.00 _ � <br /> �-----�__. <br /> . irunk <br />' Type permit: New Connection �ateral. <br /> � H � <br /> -- ti �-_ <br /> � <br /> I � � <br /> Remarks: Abutting Lot Line ft. i ,n E <br /> — N, g, E, W <br /> �, � ;: <br /> _____--- � <br />, ------ I C' . <br />� ���� A. R. Theal = <br /> qpproved BY �itY En9in^er �� : <br /> &. Bond L� <br /> ,_ . <br /> Issued BY_�— � <br /> i <br /> ---- n„ (� �I , . ', _ <br /> r r1� V li ~ . <br /> P <br /> inspection BY � � r, <br /> ��� �; <br /> _---- Date Inspected q �, <br /> N0. ��7H4� . <br /> I SEE SKETCH ATTACHED <br /> i <br /> i i,�,: c�.il�;�; <br />