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everetl <br />� <br />City of Everett <br />Sewer Appli��ation c�nd Permit <br />NO. 2362� DATE June 5. 1980 <br />6801 Sroa�iway <br />Service Address <br />Bili�ng Address <br />City, State, Zip <br />Owner (A9ortgagor►_ <br />Billing Name <br />Connection By Gty o! h�rerttt <br />Phune <br />CHART NO. C' P'�Gr`:�5 <br />�T� 6� � a-� <br />Utility Account No._ <br />Permit Fee none <br />Connection Charge�s)_ <br />none <br />Total Fee _ <br />l�� <br />Signed �n Miiler _ <br />Cmromcr <br />DESCRIPTION: Sewer District <br />Lot Block <br />Plat Monthly Sewer Service_ <br />Unplatted Description Monthly Sewer Const. <br />SE[ SKETCH ATTACHED <br />IN..F�CTION <br />Trunk_ <br />Abutting Lot Line <br />N, S, E, W____ <br />R. Warren <br />Approved By <br />Ciry Enginc❑ <br />E. IIond <br />Issucd E3y <br />Inspection By <br />'I�.i !j. „ (,� <br />Datel�spected � 'r -�� <br />rvo. 23620 <br />ft. <br />