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CHART N0. �� �� �`� �� <br /> everett � <br /> �s� � <br /> � ���� /1 � -> Sz��- <br /> I �� ( <br /> City of Everett <br /> 1�,�, c.�� S� �. <br /> j Sew�r Application and Pc�rmit <br /> ��Za�a4 I <br /> N0. ��iHH� DATE — <br /> ggyH1(3(X A310 lOth Drive S.L. 76404-3 <br /> Service Address _ Utility Account No. I <br /> KES 'i13 S.E. Everett Mall Way 30.QU ___ <br /> Permit Fee <br /> Billing Address 330.60 II <br /> E�acrett, i•Ia. :'8209 Connection Chargels)_ � <br /> City, State, Zip 30.00 I <br /> ICronin Cnstoen laomea Total Fee <br /> pwner (Mortgagor) <br /> � j <br /> ' Billing Name ' <br /> I <br /> Connection By <br /> Address Slgned_ Cus�omc� <br /> 353-6500 <br /> Phone ' <br /> Bond III � <br /> Sewer District <br /> DESCRI1�ION: 6.50 , <br /> I �at_ Block Monthly Sewer Servir.e <br /> Plat Everett Div. 5 � <br /> Unplatted Description Monthly Sewer Constr. I r <br /> 330.00 i <br /> Trunk I <br /> Type Permit: c7ew Connection ! I <br /> Lateral � <br /> ,i H � <br /> � � � <br /> iRemarks: Abutting Lot Line 'i N - <br /> � N, S, E, W_ ft. i o r <br /> � s <br /> I� I 6 �: <br /> A. IL. Thaal �� � '� <br /> Approved BY �itv En9i:�etr � % <br /> E. Fwnd � <br /> � F. <br /> Issued BY ��� ,'� ° <br /> � � ` <br /> r' <br /> ���/ I � �- <br /> i Inspection By�� �'�3n <br /> i � <br /> �' .� 5-[3� � ' <br /> Date i nspected i j ° <br /> � SEE SKETCH ATTACHED <br /> NO. Z��S9 ; � ' <br /> I � <br /> i <br /> � 'r;<'�'F�_� i�IOF; � <br /> �. „ <br /> I <br />