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d <br />� <br />everetl <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 23853 , � 1\�� DATE 11/22/80 <br />Service Address ^»l� ��d�ral <br />, <br />Billing Address <br />City, State, <br />Owner (Mortgagor) <br />Biliing <br />Connection By Citp o! E��r�tt <br />Address <br />CHART NO.L 3u"2�`S <br />� <br />, 2� ��.,� <br />Utility Account No._ <br />Permit Fee non� <br />Connection Chargels) <br />noa� <br />Total Fee <br />Don Nill�i <br />Signed <br />Customer <br />DESCRIPTION: Sewer Distnct <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />e. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />ig Lot Line <br />N, S, E, W. <br />ed By H. Boashey <br />Ciry Engineer <br />E. BOud <br />:ion By �'iu.�/`��Z1/ � : <br />ispected �✓z i�'�� � <br />No. 23853 <br />