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i _ <br /> CHART N0. ^ � " <br /> everetl <br /> e <br /> City of Everett � <br /> Sewer Application and Permit <br /> No. 24594 DATE _ July 21 , 1983 I <br /> Servir.e Address _ 1614 CHESTNUT _ Utility Account No. <br /> Billing Address Permit Fee None <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) _ Total Fee_ None <br /> Billing Name <br /> Connection By City of Everett <br /> Address Signed Don Miller <br /> customer <br /> Phone <br /> DESCRIPTIUN: Sewer Districi <br /> Lot Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Re ai <br /> � Lateral <br /> Remar : ,' ,� ` <br /> 'l�utting Lot l.ine <br /> ���.(� . 3 N, S, E, W tt. <br /> :���, v <br /> � ' ��� � � / 6 µ . Approved By Al Theal <br /> � ��. c rn I T .�•.� Citv Engmeer <br /> oiVI51i)I! 12i�'1 !'811 rcr< n � e,c;:.�:;� � <br /> , , , ,,� , ,� , . � � IssuedBy G���a�.+e Gra���� <br /> t.•.;:. ,,,,... . � � /Jy��d,u-�� -� <br /> �" ' —J� Inspection By�2��/�� <br /> Date Inspected � Z�.� � <br /> SEE SKETCH ATTACHED rvo. 24594 <br /> CUSTOM[R COPY �OSTED �—�`w� � <br />