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CHARTNO. '� �-'-`� ' '� <br /> � everett . <br /> e <br /> City ot Everett �O��F� �lI��80 <br /> �� <br /> � <br /> Sewer Application and Permat � <br /> N0. 23561 DATE 4/Y/80 <br /> Service Address 917 Caeino (8art) <br /> — Utility Account No. �s22�_fl <br /> Billing Address �17 East Cn►1no Permit Fee �O.oO <br /> Lroarett, Wa. Payin�{ <br /> City, State, Zip Connection Chargels) <br /> � Lola ifriqht 70.00 <br /> Owner ,Mortgagor) _ Total Fce__ <br /> Billing Name �'°°1° _ <br /> Connection By V.E 6 S Septic __ <br /> Address Z017 171et rVE GE-Sno6omiah He. �;iqned.____ _. <br /> -- --- <br /> 334-59G0 2��;G��,� ---------- <br /> Phone__ — _—_ _ <br /> DESCflIPTION: Sewer Disuict <br /> Lot. Block - - -- — ------- <br /> j P��� Monthly Sewer Serv�cc__ _ ____ <br /> i <br /> I Unplatted Description____._—_- ____ _ _ __. _. ____ Monthly Sewer Consir. <br /> Trunk <br /> Type Permit: xew Connection — - -- -- ------ <br /> Lateral <br /> Remarks: _ _-- - -- ------- <br /> Abutting Lut Line <br /> N� S, E, W__ __ __ ___.—(t. <br /> _ . , '�"// il. Warran <br /> — Approved Ey _ <br /> _ Ctiv Enguirrr <br /> L. Dond <br /> - Issued By _ _ _ __ <br /> � ��� <br /> Inspection By �� -r"'u `_� _ _—___-- <br /> Date Inspected"I � _ ��� <br /> SEE SKETCH ATTACHED ��o. 23561 <br /> IN;f'FC 111,IJ <br />