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evereh <br /> � CHART NO. � _ c _ - <br /> City of Everett <br /> faS��(� � -3 � -�p <br /> Sewer ,qpPlication and Permit -� <br /> � <br /> NO. 236�'�J9 DATE ��21/80 <br /> Service qddress 350.i� 3roadway �_ <br /> Utility Account No. <br /> Billing Address <br /> Permit Fee�°n_e <br /> City, State, Zip <br /> Connection Charge�s) <br /> Owner (Mortgagor) <br /> Total Fee none <br /> Billing Name -- <br /> Connection By �tY of �rQtt <br /> Address Don p±iller <br /> Signed <br /> Phone <br /> a�:�o,,,��� <br /> DESCRIPTION: <br /> Lot�_ glock�_ SewerDistrict <br /> Plat <br /> Monthly Sewer Service <br /> Unplatted Description <br /> Monthly Sewer Constr. <br /> TYPe Permit: repair <br /> Trunk <br /> Remarks: . Lateral <br /> ' �?""" � �� _ G���� Abutting Lot Line <br /> ,,..� . � . N, S, E, Vy__ <br /> fi� • iY, � tc. <br /> ^ � � <br /> Approved By it. Ilarren <br /> City Enginccr <br /> Issued gy E• �°II� I <br /> Inspection By r_ lf-iF_� ,�� <br /> L, --_� <br /> Date Inspected � - ��� , ��i I <br /> SEE SKETCH ATTACHED �— I <br /> No. 23669 I <br />_ '`, i <br /> �Ectiut�� <br /> I <br />