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CHART NO. <br /> everen <br /> e � <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 23792 DATE 10/11/80 <br /> � <br /> 6526 C�dy RoaA ��ility Account No. <br /> Service Address <br /> non• <br /> Billing Address Permit Fee <br /> City, State, 2ip Connection Chargels) <br /> non• <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By Citr of E��r�tt <br /> poa Mill�z <br /> Address Signed c�:�o�� <br /> Phone — — <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: r�Pais <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W it. <br /> ��'�s1-�-LDI/ /irl��r� �� <br /> � — q. M�rr�n <br /> Approved By <br /> n��D ' -''�y �L^ � CitY Enpinem <br /> /' liL�'-V TC/ E. eoad <br /> Issued By <br /> �n a av� t 0�^� • <br /> — Inspection By '��"� �r�'`'"� � <br /> Date Inspected � � " J� " �� <br /> SEE SKETCH ATTACHED No. 23�92 <br /> INSPECTION <br />