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a <br /> � i <br /> 9 <br /> CHART NO. � � � �� � <br /> everett <br /> � <br /> City of Everett <br /> Seyorer Appliccation cnd Permit � <br /> No. 24510 DATE ATri1_g, 19R3 �� <br /> Service Address 7 119 Hovt Utility Account No. <br /> Permit Fee <br /> Billing Address <br /> Connection Charge�s) <br /> City,State, Zip <br /> Owner (Mortgagor) Total Fee <br /> Bilii�g Name <br /> Connection By CitY of E�rerett <br /> Address Signed Don rtilc�om�� <br /> Phone ' <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service - <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk__ <br /> Type Permit: Re air Lateral <br /> Remarks: ' Abutting Lot Line <br /> � � iyr�e:.<-�-., /�c� . G'� c.-c . Z�r-�c N, S. E, W ft. <br /> w� <br /> . ve r..r'�� <br /> „ i !'4�`�//Qr� .2 i 7 S. � <br /> ' -t¢ <br /> — S � •t '� I <br /> � � � � Approved By A1 Theal <br /> — �I Citv Engmeer <br /> -e i 7F�. clrv [�t:G�r:FFR��:r; CO�-`�.1�"!J�.�TI��;: � Issued By Sue Grannan <br /> niviEiOti ��59.d�?t i�, i'Or� a•: iris����;ii�;:, <br /> � <br /> - � � <br /> _��Ul . . lL .��:i,..� . . . ' .n. . • 1 <br /> r � � dHT -UF �Wi,Y � <br /> r cT II 'TIDN C.•� oUi.� C uC <br /> I �:r,:�, • _ - -----J InspectionBy—,Q��tnn�� <br /> �Date Inspected � � 7' �� <br /> SEE SKETCH ATTACHED No. 24510 <br /> CUSTOMER COPY <br /> L � <br />