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CHART NO. R ��'� 'Z rl S � <br /> everett i <br /> � �05�� <br /> City of Everett � —� /_ � U <br /> �� <br /> Sewer Applicction and Permit <br /> rvo. 23499 r.b. u, i9so <br /> DATE <br /> Service Address U05 Oolby Utility Acc�;unt No. <br /> Billing Address Permit 1=ee none <br /> City,State, Zip Connection Charge�s) <br /> Owner (Mortgagor) Total Fee none <br /> Billing Name_ <br /> City of Elreratt <br /> Connection By <br /> Don 11111ur <br /> Address Siyned _ <br /> a,s�om,:� <br /> Phone ' <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. � <br /> 3 <br /> Type Permit: =�p�y Trunk ; <br /> Lateral � <br /> Remarl:s: <br /> -- Abutting Lot Line <br /> _ N, S, E, W _ ft. <br /> ; / � i�J r, ` ' <br /> _ ;'� .� { ' � � � .j � . I�. Harren J <br /> Approved By I <br /> , i' , - r� , c��v e��y���„� <br /> _ - � <br /> Issued By E. Boud <br /> �".l hr� G�.���.G ✓,� 1.�,�-.���� <br /> Inspection By��"'' <br /> Date I nspected � ` � �•' 0 V __ <br /> SEE SKETCH ATTACHED No. 23499 <br /> �.I:��.I;.0 i I;. '� <br />