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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 23548 DATE <br />Service Address 11401 west Ibberson Drtve <br />Billing Address 17817 Wayne :I. <br />Seattle, Wa. 98133 <br />City, State, Zip <br />Owner (Mortgagor)_ James S. Irvine <br />Billing Name <br />Connection By--- <br />Address— <br />Phone 542-1826 <br />DESCRIPTION: <br />Lot 31 _ Block <br />Plat Ibberson Park <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />CHART NO <br />Utility Account No._ <br />2.50 <br />Permit Fee <br />Connection Charge(s <br />2.50 <br />Total Fee_ <br />Signed_ <br />75085-1 <br />33 Bond III <br />Sewer District <br />Month!y Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N S E, W_ ft. <br />INSPECTION <br />Ii. Warren <br />Approved By <br />City Engineer <br />E. Bond <br />Issued By <br />Inspection <br />Datelnspe <br />No. 23548 <br />