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, <br /> r � <br /> I <br /> everett CHART N0.____ <br /> e � <br /> � <br /> City of Everett I <br /> � <br /> Sewer Ap�plication and Permit j � <br /> No. 24288 DATE Jui�e �, lses , � r ; . <br /> i '� <br /> . . _ , - � <br /> 63J4 A i e Ca3y RoaG 15016-9 <br /> Service Address Uti!ity Account No.. <br /> BillingAddress 12a�� ��th Driva tt,E, 30.00 ; <br /> Permit Fee <br /> City, State, Zip „a=qavills, Na. 90770 600. 00 I <br /> IConnection Charge�s) <br /> IOwner (Mortgagor) Narvin L. Livesav Total Fee '0•00 <br /> i Dilling Name Sam� Ordinacee i669-Ei0 <br /> I — /1r�a fl 322.00 <br /> Connection 8y <br /> Address Signed " � �/ ��'� •� <br /> Zse�•l�Zd-ax� Z21 Cuslomer <br /> Phone I <br /> DESCRIPTION: Sewer District Dond i <br /> Lot ptn. 79 _ <br /> — Block <br /> Plat Be�arly qill■ Di♦ III MonthlySewerService •�t�zed <br /> i Unplatted Description Monthly Sewer Constr. � <br /> � <br /> � Type Permit: N�v Coan�a'tion Tnmk 110.00 <br /> I - Lateral 190.00 <br /> Remarks: <br /> Abutting Lot Line <br /> — N, S, E, W 50 ft. <br /> Approved By. �• R. Theal <br /> Ci1Y Enp�neer � <br /> Issued By �• Bon� <br /> � <br /> _ Inspection By � ���''/ �,�_� � <br /> — ----- ------- — ._ Date Inspected- 1�_�% - o `— <br /> SEE SKETCH ATTACHED N� 2�r180 <br /> G O <br /> � INSE'C-CTION J <br />