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CHART N0. <br /> i eve:ett ' <br /> � <br /> � _ ' .-,-, .- j "i �' I <br /> � ' ? ' --✓ � i •_. �... � <br /> City of Everett <br /> ✓ <br /> Sewer A iicatior�� and Permit ��� <br /> PP <br /> No. 23854 DA��E Dec. 22 , 1480 �, <br /> � <br /> , <br /> 151z Hovt T.ve�niiQ <br /> Service Address � -_ Utitity Account No. —.- <br /> 8120 Loaell '.Larimar Road 30.00 I <br /> Billing Address _ Permit Fee <br /> Everett, Wa. 98203 Connection Charqe�s) <br /> City, State, Zip 30.00 I <br /> F. N. Czoene,ve:Ld Total Fee <br /> Owner (Mortgagor) i <br /> Sane OrAinance $6G9-80 I <br /> Billing Name ,rea 4L 221.00 I <br /> Connection By II <br /> i . <br /> Address Signed ' ' " � I <br /> C��sromcr <br /> Phone E13-275T. I <br /> DESC�J�'ZI$N: Z�? Sewer District <br /> Lot Block Monthly Sewer Service 5•10 ; <br /> Plat xilton u let ; <br /> I Unplatted Description Monthly Sewer Constr. <br /> Type Permit: po� CBnne�ction <br /> Trunk_ I <br /> iLateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W N1[EfCttHH xorthendit <br /> I - <br /> S. Souehay <br /> Approved By � <br /> I City Engineer . <br /> �I - E. Eond � <br /> ! Issued By_ <br /> I <br /> �I - , <br /> Inspectio� By � _ i <br /> -7 �J 1 I <br /> � _ Datelnspected / " �J� <br /> I SEE SKETCH AT7ACHED No. 23854 i <br /> I <br /> � II�,'.,I�`('C"i lu,. �i, <br />