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CHART NO. <br /> [ed] PosTd6v 11- ty-ao <br /> City of Everett <br /> Sewer Application and Permit <br /> 9/23/80 <br /> No. 23765 DATE <br /> 201 79th Placa S E. -- Utility Account No. <br /> 16788-A <br /> Service Address_---- <br /> Billing Address_ 615 75th Street S.E. APt. 2 Permit Fee <br /> 30.00 <br /> 107.50 <br /> Everett, Na. 98203 Connection Charge(s) <br /> City, State, Zip_ 30.00 <br /> Owner (Mortgagor) Carter Const. Inc- Total Fee_ <br /> Ordinance #669-80 <br /> Same Jkrea #1 221.00 <br /> Billing Name <br /> Same <br /> Connection By — <br /> Address_ <br /> Signed <br /> " <br /> C.atomcr <br /> - <br /> Phone 355-7717 _ <br /> 6 t3ond I <br /> Sewer District <br /> DESCRIPTION: 3M 5.10 <br /> Lot___ 1_— Block— Monthly Sewer Service <br /> Plat Eve rarean Nide• — <br /> �_Monthly Sewer Constr. <br /> Unplatted Description 0.20 107.50 <br /> --- Trunk <br /> iType Permit: New Connection Lateral <br /> Remarks: Abutting Lot Line ft. <br /> - N, S, E. W <br /> it. Warren <br /> Approved Bye ---- <br /> city Egg, o, <br /> E. Bond <br /> Issued By <br /> Inspection <br /> _ Date Inspected. <br /> No. 23765 <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />