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CHART NO. "— <br /> ever�tt <br /> I <br /> I � � <br /> City c' Everett <br /> Sewer Applicatioro ar�d P�rmit <br /> z�zs as � - <br /> NO. Z�47$ DATE _ � L ���t:� Y, ;' �—I_ - � = <br /> 3222 &romez <br /> Service Address Utility Account No.. <br /> Billing Address Perrnit Fee None <br /> � <br /> Ci[y, State, Zip Connection Charge�s) <br /> Owner (Mortgagor) Total Fee Hone _ <br /> dilling Name _ j <br /> Connection By City of Everett � <br /> Don Mi'lnr i <br /> Address Signed _ <br /> Customer <br /> � � <br /> Phone _ I <br /> i il <br /> DESCRIPTION: Sewer District <br /> PI t Block ;/�onthly Sewer Service i Ij <br /> � <br /> Unplatted Description Monthly Sewer Constr. i <br /> iType Permit: r�pair Trunk _.___ � <br /> Later�l � <br /> i <br /> Remarks <br /> I ! Abutting Lot Line i <br /> �.:�, ,- � ��I >i� � � /, i (_ T, � N, S, E, �'�—.— ft. <br /> r � /, � -,'� �, :, f . ..,, , <br /> '. <br /> 'l � %�• �� /{I. / .,r . i i t.� , _„ � <br /> _ :; ' : - � . �-. ,. 7���c.. A.R. Theal <br /> Approved By <br /> . . Ci�y Engincer <br /> Issued By �• Dond �, <br /> �. <br /> I <br /> � <br /> IInspection By � '��' � ' '' � <br /> I Date I nspected ` " __ , <br /> SEE SKETCH ATTACHED N0. 2'+�7H <br /> I <br /> � b� �i'�,, � <br /> � <br />