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everetl <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24223 <br />3/19/82 <br />DATE — <br />cHnRr <br />Service Address_ 604 74lh 6tzaet S.w. Utility Account No. <br />76131-2 <br />Billing Addr�ns_ 826 S.E. Everett Hall Way Perrnii Fee 30.00 — <br />Everett, Ne. 98204 Connection Chargels) 2��•00 <br />City, State, Zip - � 30. 00 <br />itillis Nomas 2ne. Total Fee -- <br />Ownei (Mortyagor) - <br />u a➢�� <br />Billing Name <br />i <br />Connection By. - �' � ('; <br />e.�.�.a�c - Siyned_ c rsiomer <br />355-4�92 <br />Phone_—__— ---- <br />DESCRIPTION: <br />Lot_ 13ti Block <br />Plat _ Veralene 8etates <br />Unplatted Description <br />Se�ver District <br />Monthly Sewer Service_- <br />Monthly Sewer Constr. <br />Trunk 1.15 <br />Lateral <br />SEESKETCH ATTACHED <br />Iw:a�! C?ior� <br />AbutUng Lot Line <br />N,S,E,W <br />Approved <br />I ssu ed <br />Bond II <br />6.50 <br />A. R. Theal <br />Ciry Enp�neer <br />E. llond <br />270.00 <br />� /. � <br />. i � <br />Inspection 8y <br />Date Inspected ` ' �-; ��' `� ' <br />No. 24223 <br />� <br />� <br />