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� everet! <br />I � <br />Ciq� 01 Everatt <br />Sewer Application and Permit <br />No. 23830 DATE 12/2/80 <br />CHART <br />��� y-9-8r <br />� <br />Service Address. 901 101th P.laee e. [. __ �tility Accoimt No. �602l-0 <br />Biliing Address *.7. !ox �j.� _ Permit Fee 30.00 <br />City, State, Zip tlrkla:�d. N�. 98033 Connection Charge�sl_ <br />Owner (Murtgagor) /har�tad i Mi111ae�, Ine. Total Fee �0.00 <br />Billing Nam� en�� Ordin�nc• 1722-80 <br />l�r�a f] <br />Connection By E��� <br />Address—_ <br />e��-o�s� <br />DESCRIPTION: <br />Lot__ 6 Block <br />Plat !1t-lt�r <br />Unplatted Description <br />Type Permit: N�r Cona�etiee <br />�02.50 <br />Signed <br />��„o�, <br />SEE SKETCH ATl'ACHED <br />iF!'.I �( r�11CN <br />�]4.00 <br />Sewer District__. �6 lonE III <br />Monthly Sewer Service_ s• 10 <br />Monthly Sewer Constr. <br />Trunk 1.1� __ IO2.80 <br />Abuttiny Lot Line <br />N, S, E, W <br />Approved By A. Boneh�y <br />Cnv Engmrtnr '�, <br />Issued By e. eond � <br />nspection By�.� � __�_ .�� <br />Iatelnspected__/�-/�.- �'U <br />No. 2�830 <br />V <br />