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Me <br />everetl <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 23654 <br />Service Address_ <br />Billing Address_ <br />City, State. Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />Address <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descrip <br />Type Permit: <br />DATE 7/l/80 <br />2131 highland ]Avenue <br />Oity of Everett <br />Block <br />CHART NO. H 29-29-5 <br />Utility Account No._ <br />none <br />Permit Fee <br />Connection Charge(s). <br />none <br />Total Fee _ <br />Signed <br />Remarks: <br />P. <br />rn <br />} <br />SEE SKETCH ATTACHED <br />Cecil or-4eerd <br />Sewer District_ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />H. Warren <br />Approved By. <br />Fclty E_ �gipeer <br />Issued <br />Inspection By /f =Z(� <br />Date Inspected % L -3 <br />No. 23654 <br />INSPECTION <br />