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CHART N0. <br /> everett <br /> � ��'-����'i lJ <br /> l7— \( - � � <br /> City of Everett <br /> � �� <br /> Se�wer Application and Permit <br /> N0. 24115 DATE November 16,1981 <br /> 1421 Lorabard <br /> Service Address Utility Account No. <br /> Billins Address Permit Fee nane <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 /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> � <br /> Unplatted Descrip:ion Monthly Sewer Constr. <br />� Type Permit: Repair Trunk <br /> Lateral <br /> Remarks: /�i �/c r ,. �- �/' �" , .; , „i � _._..�/n f <br /> .�� � Abutting Lot Line I <br /> � ,r� rr^- /- •y.�% . / i'-a++-,�� . /i' i/i, J� � i ./ N, S, E, W <br /> �i' i/�. /�. � a: :�N .i,}" ft. <br /> ]1. R. Theal <br /> Approved By <br /> Ciry Engineer <br /> E. Dond <br /> Issued By _ <br /> � J�Inspection BY :� , i / ��'�':' , ': � '" <br /> Date Inspected �� - �� — } / <br /> SEE SKETCH ATTACHED Np, 24115 <br /> I <br /> _ INSPECTION i <br />