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CHART N0. � �� "29' -s <br /> everett <br /> e _ <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 24655 DATE io�21/a3 t�a:,ard K8. �-z�- s <br /> 1915 Broadway Utility Account No. <br /> Service Address <br /> Billing Address <br /> 1915 IIroadvay PermitFee 10.00 <br /> City, State, Zip ��tt, Ha. 98201 Connection Charge(s) __— <br /> Owner (Murtgagor) Olioer Nlliiafos Total Fee 10.00 <br /> same <br /> Billing Name <br /> I 6 R Conotruction <br /> Connection By <br /> 19725 tt��hrap 99 --- - I <br /> �ddress LvnnMooa �9� osoaR Signed co:ro�� <br /> 252-36G1 <br /> Phone <br /> DESCRIPTION: Se.ver District i <br /> Lot e Block 381 Monthly Sewer Service <br /> Plat ��tt <br /> Unplatted Description Monthly Sewer Constr. � <br /> Trunk <br /> Type Permit: l►ltzratlon <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> 7 C'C !O /7 <br /> APProved By h• R. Theal i <br /> /�Jw�/ � �� � P CiryEngmeer <br /> E <br /> fi. Bond <br /> ��., f' .�„�� <br /> Issued By <br /> z� � . II <br /> Inspection By II <br /> Datelnspected � <br /> SEE SKETCH ATTACHED N�• Z4655 <br /> ItJSPECTION II <br /> ! <br />