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CHART N0._ <br /> everett <br /> � <br /> City of Everett <br /> Sewer Appiication ar�d Permit <br /> N0. �5�7o DATE Septewber 12, 1985 — _ _ <br /> 2232 12th Street Utilit Account No. <br /> Service Address_ — — Y � <br /> i <br /> Biiling Address ��r, �'� Permit Fee 90.00 i <br /> Bellevuo, Wa. � Connection Charge(s�_ <br /> City,State, Zip -- <br /> ��� ��.f�F���St'�£�at�X Total Fee �"•00 <br /> Owner (Mortgagor) — <br /> Biliing Name �'erett Land F.ssociates _ Ordinai,ce 9RG-83 <br /> 50 liGth S.E. Suite 210 55512.00 � <br /> Connecti�n By <br /> I <br /> Address Signed — <br /> Cus�omcr <br /> Phone ���5 6�]Z-3939 <br /> DESCRIPTION: Sewer District __ <br /> Lot _ Block Monthly Sewer �ervice 1=etered _ _ <br /> Plat <br /> Unplatted Description 17 19 5 Monthly Sewer Constr. <br /> Trunk <br /> Type Fcrmit: 3-Haw Connectiona <br /> — �ateral <br /> Femarks: <br /> Abutting Lot Line horthend <br /> N, S, E, W ft. <br /> --� tau� /�f r�a � � Approved ElY A• R. Theal <br /> �y ,y h/!� � � �w ��� City Engineer <br /> r�UI' m c�nCiC_ � E. �3QAC1 <br /> Issued By <br /> _� � <br /> � Inspection Bv. � / � <br /> _ _�Cate Inspected y'Z 2- - ,'`4 <br /> SEF SKETCH ATTACHED N0. G��7V <br />� <br /> INSPf_CTIGiJ <br />