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everett , CHART N0. ��" � �' - � � - 5 <br /> � � .S��J <br /> �D <br /> City of Everett q <br /> , �`� `'!" �/ <br /> �Z <br /> Sewer Application and Permit �J <br /> No. 23383 DATE 11/13/79 <br /> � <br /> Service Address b502 Folly Drivc <br /> Utility Account No. <br /> Billin Address 2.50 <br /> 9 Permit Fee <br /> City,State, Zip Connection Chargeis} <br /> 2.50 <br /> �Jwner (Mortgagor) Total Fee <br /> Billing Name <br /> j E'etropolitan Const. <br /> Conr.ection By <br /> I <br /> i Address Signed <br /> I 259-5191 Cusrome� <br /> Phone <br /> � DESCRIPTION: Sewer District_ <br /> ' Lot Block <br /> IPlat Monthly Sewer Service ___ <br /> ' Unplatted Description la'z8-5 <br /> j Monthly Sewer Constr, <br /> i ype Permit: cap-aff Trunk <br /> iLateral <br /> IRemarks: �__ F P C�rF �' 1 VL-' /�GL i qbutting Lot Line <br /> � !S� r/ /n/�� ,r"'R-oPr-�.T% c./nl N, S. E, W ft. <br /> I _ -- I{. {?uTzr_n <br /> Appraved By <br /> Ciry Engmeer <br /> E. Lond <br /> i Issued By <br /> — (�� ; <br /> Inspection By `�:l� C �1 1 .�_�.�-- <br /> i ` <br /> Date Inspected �J`� ��`� � .`��� =) <br /> SEE SKETCH ATTACHED Na� 23383 <br /> ��JSFGC:1lUh! <br />