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CHART N0. <br /> everetl <br /> � ' <br /> City of Everett <br /> Sewer Application cnci Permit <br /> NO• 2rj141 DATE 6/11/65 <br /> 8530 iFa�dsaew— ��l� � � <br /> Service Address Utility Account No. <br /> Billing Address P•O. Box 1546 permit Fee 30.00 <br /> City, State, Zip �=ett, Wa. 9820E Connection Charge(s) Z�ZZ4.10 <br /> Owner (Mortgagor) B p ��iates Total Fee 30.00 <br /> Billing Name <br /> Connection By <br /> Address _ Signed_ < •.�: .- <br /> �Customer� <br /> Phone 259–�077 <br /> DESCRIPTION: Sewer District �nd iiI <br /> Lot Blocl. � <br /> Plat Monthly Sewer Service <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Trunk 1012.00 <br /> Type Permit: Naw Conneation <br /> Lateral 1212.10 <br /> Remarks: , <br /> , Abutting Lot Line <br /> '� '�'L_c'��/- � N, S, E, W 230 ft. I <br /> I <br /> Approved By A, x. Theal <br /> City Engineer <br /> F.. HOIICl <br /> Issued By <br /> — I L � <br /> � Inspection By <br /> Date Inspected � <br /> SEE SKETCFI ATTACHED N0. 25141 <br /> INSPECTION <br />