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` T _ <br /> —I <br /> CHART N0. ' ' I <br /> everett <br /> I , _ 1 <br /> e ;.:,�.,:� ,:��.� ,� .�: 1� _ <br /> �, EnE�l?` � <br /> �. i.�, . � � <br /> City of Everett - I � ; '. , <br /> :, ��:131 � <br /> Sewer Application and Permit <br /> . -- '�i� i <br /> NO. 24004 DATE 6/2/81 <br /> Service Address 1226 eroadway Utility Account No. <br /> 6823 109th Avenue S.E. 2,50 <br /> Billing Address Permit Fee � <br /> Snoliomish, Ha. 9II290 � <br /> City, State, Zip Connection Charge(s) <br /> 2.50 <br /> Owner (Mortgagor) Jim Ftesseltine Total Fee <br /> Same <br /> Billing Name <br /> Connection By Same <br /> Address Signed 1 <br /> � ! __ � � i ' l <br /> � Customcr <br /> 568-9301 <br /> Phone - I <br /> DESCRIPTION: Sewer District � <br /> Lot 22-z3 Block z39 _ ! <br /> Broedaay Land Co' e lst Monthly Sewer Service � <br /> Plat ; <br /> Unplatted Description Monthly Sewer Constr. j <br /> Trunk I i <br /> Type Permit: cap-off. <br /> - Lateral i <br /> Remarks: I <br /> Abutting Lot Line <br /> N, S, E, W ft. i <br /> � .1�- � I <br /> � '� (�'v' A. R. Thnal � J <br /> Approved By I <br /> City Enginccr i <br /> � V �jZ E. Bond <br /> Issued By <br /> I <br /> I --� <br /> Inspection By � <br /> Date Inspected — I <br /> �� <br /> SEE SKETCH ATTACHED NO. �40�4 � <br /> , i <br /> j� IWSPLC1lG�d - <br /> , �I ; <br />:d>: <br /> - - -- -- --- - -- - -- --� - �� - - ' - <br />