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everetl <br />e <br />c�cv or e�e�cct <br />Sewer Application and Permit <br />NO. 247p1 DATE March 9, 1984 <br />Service A�dress 502 75th Placa S.N. <br />Billing Address 826 S.B. Ewrett Mall Bay __ <br />�ity, State, Zip �=�tf., N�shlnqton 9820i _ <br />Owner�fvlortgagor�nillis Hose� Ioc. <br />Billing Name <br />Connection By_ — <br />Phone 355-4692 _ <br />DESCRIPTION: <br />Lot_ u� Block_ <br />Plat �al�a� Eetuta� <br />Unplatted Description_ _ <br />Type Permit: THw Oonnection <br />i <br />i CHART NO. / i • ' � <br />76351-6 <br />Utiliry Account No._ <br />Perntit Fee_ 30.00 <br />Connection Chargels) <br />270.00 <br />30.00 <br />Total Fee <br />Siyned <br />SEESKETCH ATTACHED <br />� <br />iNSf CC 110N <br />Sewer District �� t=— <br />Monthly Sewer Service �'.'Q _— <br />Monthly Sewer Constr. <br />Trunk 27U•00 <br />t ?tera� <br />Abutting Lot Line <br />N, S, E, W <br />Approved By t,, R. Theal <br />City Eng��nccr <br />E. twnd <br />Issued By — <br />Inspection By /��� ' <br />Date lnspected_, �� <br />No. 24781 <br />0 <br />i <br />