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i <br /> CHART NO. <br /> everetl <br /> � � <br /> City ot Everett ��'' < <br /> , � r' �� � <br /> Sewer Application and Permit <br /> N0. 24633 $Qpt��b�z 26, 1983 <br /> DATE <br /> Service Address �134 Chtrtnut Utility Account No. <br /> 21]2 Itighland �venu• Permit Fee_ 30.00 <br /> Billing Address <br /> Eoar�tl, N��hiaqton 98201 Connection Charge�s) <br /> City,State, 2ip <br /> �T.�rr�nc• H. Nalbach �0.00 <br /> Owner (Mortgagor _— Total Fee_ <br /> 6a�� carer pa��l^p��nt !�• <br /> Billing Name Ocdiaanc• 1'069-80 <br /> ]►r�a 1 ]22.00 <br /> Connection By <br /> Address Signed _— -- <br /> cu:tomer � <br /> Phone �57-7450 _ I <br /> DESCRIPTION: Sewer District I <br /> Lot d Block Monthly Sewer Service_ <br /> Plat Bsall E�tatc• <br /> Unplatted Description Monthly Sewer Constr. I <br /> Trunk <br /> Type Permit: Nar Connaction <br /> Lateral __ � <br /> Remarks: <br /> Abutting Lot Line i <br /> N, S, E, W_ NorihenE ft. <br />, I <br /> Approved By A• A. Th��l <br /> Ci1y EnBineer I <br /> P.. Hond <br /> Issued By — � <br /> II i <br /> I i � <br /> Inspection By���� <br /> I -- —----- Date l nspected %Z -� - �Y <br /> SEE SKETCH ATTACHED N�• 24633 <br /> IN�P[C710N <br />' ! <br />