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everett <br />e <br />City af Everett <br />Sewer Application and PerrYeit <br />CHART NO <br />— � .r:,_ r; ,. �_ y�J�':. <br />S. , - . <br />N0. 24p26 DATE kKil 19, 1981 L <br />95� �� s� <br />Service Address 210 t6 Plae� S.E. Utility Account No. 761lS-5 <br />8illing Address � 1�=9 �7 Permit Fee 70.00 <br />City, State, Zip ��tt, SIa. 98101 Connection Charge�s) »0.00 <br />Owner (Mortgagor) <br />boyd�n 1Witr� UQ• Total Fee 30.00 <br />Billing Name_ <br />Connection <br />. ; <br />Sigr�ed _ � f 1. <br />cuttortwr <br />ssi—iibc <br />DESCRIPTION: <br />Lot 19 _ Block <br />Plat ��9� Di�. i <br />Unplatted Description _ <br />Type Permit: Na�r Oonef�ctio� <br />SEE SKETCH ATTACHED <br />INSP�CTION <br />Sewer District_ <br />Monthly Sewer Sen�ice <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />6.50 <br />370.00 <br />11. Ii. Th�al <br />Approved By <br />Ciry En9muer <br />Issued Bv E� �� _ <br />Inspection By� <br />Datelnspected � � �7 _ <br />No. 24826 <br />