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evere4t <br />e <br />Ci¢y of Everett <br />r--. 4,� <br />, <br />CHART N0. � 2� 'Z9 - S <br />� _. •._ �. �. <br />Sewer Application cnd Permit <br />NO. 23640 DATE 6/23/80 <br />Service Address 2501 8=n�dwt <br />Billing Address u�s M•E. BSth <br />City, State, Zip �d' M�• 9'�S2 <br />Owner (Mortgayor) �r�e <br />Billing Name �� <br />Connection By s� <br />Address <br />Dl,....0 88�'�%1 <br />'� <br />Utility Account No. <br />Permit Fee 2•50 <br />Connection Charge�s) <br />Total Fee 2•50 <br />J�. ----; __--- <br />Signed_ . - <br />Cusiomer <br />DESCRIPTION: Sewer District <br />Lot �s"�2 Block 566 <br />P�.�t Svrrnt Monthly Sewer Service <br />Unplatted Description__ Monthly Sewer Constr. <br />Type Permit: Gp—of� <br />SEE SKETCH ATTACHED <br />INSPECiiON <br />Abutting Lot Line <br />N, S, E, W <br />Approved 6y �' W�1°n <br />Ciry EnBmeer —' <br />Issued By E. Aond <br />C r <br />Inspection Dy_ <br />Jate Inspected �i/L- Cj� <br />No. 2ssaa <br />n <br />