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.� <br /> - + <br /> CHART NO. � � " 2� 'y <br /> evereri <br /> �j �T� �-31 -Sa <br /> � � <br /> City of Everett �[� <br /> 1' <br /> Sewer Application and Permit <br /> No. 23632 DATE �une le. 1980 <br /> Service Address 5422 Glenwood Utility Account No. <br /> Billing Address Permit Fee <br /> � <br /> City, State, Zip Connection Chargels) ! <br /> Owner (Mortgagor) Total Fee � <br /> Billing Name Pione <br /> Connection By rt+..�c�+erarr <br /> Address Signed Don Miller � <br /> Cuslomcr II <br /> Phone ' <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service <br /> Plat <br /> i <br /> Unplatted Description Mon[hly Sewer Constr. <br /> Trunk <br /> Type Permit: Nev Conneetion <br /> Lateral � <br /> Remarks: <br /> Abutting Lo[ Line I� <br /> ;y� S, E, N1 ft. <br /> !/L :�Gc./ // - /: � .t/a- �, <br /> l� GL'c'._ ' /.��- �u-y✓ CLnsL <br /> � � � p�� � Huah Warren � <br /> � '/ Approved By <br /> .? a � • m � �71 Ciry Enqmeer i <br /> i <br /> Issued By _-- — � <br /> � <br /> Inspection By 1� ��L{ ``�"'� '� "�� � - <br /> � I <br /> Date Inspected � " � � � �� i <br /> SEE SKETCH ATTACHED No. 23632 , <br /> I <br /> Ih?cPl'(�110�.' � � <br /> � � . <br />