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CHART NO. <br /> everetl <br /> City of Everett <br /> Sewer t pplication and Permit <br /> No. 25152 <br /> DA1 E June 19. 1985 <br /> 109 '17th Place S.N. Utility Account No._— <br /> Service 30.00 Address_ -- <br /> Billing Address s East Marilynn Permit Fre <br /> City,State, Zip — <br /> Everett, Washington 4204 Connection Charge(s) 110.00 <br /> _ — <br /> Pirstline Construstion Total Fee 30.00 <br /> Owner (Mortgagor) <br /> Ordinance 984-83 <br /> Billing Name 000.00 <br /> Connection By------ <br /> �- <br /> Address -- Signed--- Customer <br /> Phone 357-1177 <br /> Pons I <br /> DESCRIPTION: Sewer District — <br /> Lot 20 Block 6.50 <br /> Monthly Sewer Service_ <br /> Plat Cedar Ridge Fstates <br /> Unplatted Description __ Monthly Sewer Constr. <br /> 110.00 <br /> Trunk <br /> Type PMswitCo New Connection <br /> _-- Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W, ft. <br /> — -- --- A <br /> Approved By A. R. ifioal <br /> City Ergmea <br /> Issued By. E. Bond <br /> t <br /> Inspection By (( _ <br /> Date Inspected �U <br /> SEE SKETCH ATTACHED No. 25152 <br /> INSPECTION <br />