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CHART NO.__ _ _- .- _-- ------ <br /> , everett <br /> � � I <br /> � � <br /> City of Everett I <br /> Sewer Ap��i�ation and Permit <br /> OctoAer 14, 19P� �. _ <br /> N0. 24960 DATE --- <br /> - ------ ! <br /> ' 76�26-� <br /> I707 107th Vlao� S.B. _ - _- Utility Account No.�---- --- _ <br /> Service Address__-_. �p,p� __�_ � � <br /> � 179]fl 4]td 1►A°w __. Permil Fee I � <br /> I Billing Address_— - 7]�•� .• <br /> 11t11mTtoR . M�• ��� Connection Chargels) ----�-' I <br /> I City, State, 2iP -- -- lO.DO � �T <br /> R�n Ber4 <br /> Total Fee_---------------- ,,.y <br /> i Owner (Mortgagorl__------ �1�� 984-e� epp.00 0 � <br /> I �� <br /> I Ctilling Name — - - — - - m <br /> -i� <br /> 0 <br /> Connection BV_— � <br /> 9 = _ <br /> � _ Si ned c�,��a�„�, � r1 <br /> Address � z <br /> 6S9-6t17 -+ <br /> Phonr._-- --- ------- - --- Mld III �� <br /> Sewer District ---- -- ��^ <br /> DESCRIPTION: s'� " <br /> 8 Block Monthly Sewer Service_._.__-.- --- - �� <br /> Lot _--- � <br /> Plat �� �t ------'�— MonthlySewerConstr. m.- <br /> 1]0.00 � <br /> Unplatted Oescription___ $� <br /> Ttunk__ �S N <br /> Type ?ormit� ��� - Lateral_-- — �� �� <br /> _-----__ <br /> �� I <br /> -------__ _ __- — z I <br /> Remarks: ____ Abutting Lot ����e <br /> N, S. E, W._—-- - ----- ft. ,I y � <br /> _---_-.-- z I <br /> ---- I -� � <br /> _ <br /> .-. <br /> --- . � v <br /> 11. A. TMal _ I z � <br /> --- APProved Ry_. � <br /> C�1Y E��p���osr <br /> �� � <br /> .—�_ �• �obA � � <br /> --�--- Issued E3Y-- --- <br /> ---�'--" Inspection BV. `�`"� �� <br /> - — 1I ---- <br />� i -- _ Date I nspec�ed__!� `�-�-��_ _ _ <br /> I _-_ - <br />� --- -- -- No. 24960 <br />� SEE SKETCH ATTACHED <br /> i �rt .� i i , �, �� <br />� <br /> u <br />