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CHART NO. <br /> everett <br /> e <br /> City of Everett <br /> Sewer Applicction and Permit <br /> No. 23662 DATE July 15, 1980 <br /> Service Address 3617 eroadxay Utility Account No. <br /> aone <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Charge�s) <br /> Owner (Mortgagor)_ <br /> Total Fee none <br /> Billing Name <br /> Connection By �� of Evazatt <br /> Address Signed DO° ��ller <br /> c��:�om,., <br /> Phone <br /> DESCRIPTION: Se�ver District <br /> Lot_ Block <br /> Plat Monthly Sewer Service � <br /> Unplatted Description Monthly Sewer Constr. <br /> r� r Trunk <br /> Type Permit: <br /> Lateral <br /> Femarks: <br /> Abutting Lot Line <br /> lS�r_ r.a�ll N ' i9wlc� P %�G'' N, S, E, W ft. <br /> �.y1- � K � m `n, f� / ,J .37 � N <br /> l" ' <br /> TO /Y1Ai.(l If. Warren <br /> — � Approved By <br /> ( Ta� n� J TA-✓ /�i�C Gry Engineer <br /> — Issued By E• �nd <br /> —��/ j��pE jU �ny�.J <br /> icic� �C'(,CJ�K .�J�Y�C1G'S ,9LG O � <br /> i.� �,:�. : !- <br /> ,_: � '„� If15�)C'CUOfI By <br /> _ Date Inspected I� ��– �� <br /> SEE SKETCH ATTACHED NO. Z366Z <br /> !NSPECTIOIJ <br />