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CHART N0. <br /> everett ,$fi-'T T�� C/!"A�'�ir•G /a���3/B? <br /> � � <br /> � r — <br /> City of Everett i � � � ' " � � � � `� � <br /> . <br /> 'f' � � � � � :+ c� �c 4 eiJ <br /> r i � x ee �:, :w w '"' w .= <br /> • ' +� <br /> j �. �O <br /> Sewer Application and Perrn�t � .� � ,, � �� _. <br /> ,.; o x �- �S :- 'u ,`�' � ,.', � <br /> 0 oc c� :.: � _ .� ,- � � _, <br /> l'�j1 � .a�i � � ::� � = 3 '1`� V'� ._. �� <br /> Na. 2�167 DATE April 30, 198t <br /> Service Address Z925 A6H 13th St. Utility Accouni No. <br /> Billing Address 1429 Broadwav Permit Fee z�,00 — <br /> City, State, Zip ��ett fiA 98201 Connection Chargels) ; <br /> Owner (Mortgagor) H�R easociatns Total Fee z�-�� <br /> Special tltility Fee Or&. 1171-85 <br /> Billing Name ��+ vater 261.00 <br /> sewor 688.00 � <br /> Connection B <br /> Y <br /> �e 949.00 <br /> Address same Signed ' <br /> Customer � <br /> i <br /> Phone 252—nr6 f <br /> DESCNIPTION: <br /> Sewer District_ xO1��a <br /> Lot 6 Block 231 Monthly Sewer Service ' <br /> Plat �ezett Div T <br /> Unplatted Description Mcnthly Sewer Constr. <br /> Trunk <br /> Type Permit: N�a �,�,� +� <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By_ r'I'r�tED R. '17�I' <br /> City Engineer <br /> IMPORTANT! Susy Aavgen f <br /> Issued 6y � <br /> CALL 1-800-424-5555 48-HOURS f <br /> PRIOFi TO DIGGING ! <br /> CALL 259-8811 FOR INSPECTION � <br /> Inspection By <br /> Date Inspected ��G-� <br /> . <br /> SEE SKLTCH ATTACHED No. 2616 l <br /> i���sr��c�ior�i <br />