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everett <br /> CHART NO. � �C '�!==r <br /> e � � R�: , <br /> . �, <br /> ,, <br /> ;��� �;;G: <br /> City of Everett -;, -, , <br /> 1,_ -�_�, _ <br /> Sewer Applic�tion and Permit � <br /> No. 23413 DATE 12����9 I <br /> L_ <br /> Service Address 2502 Pine <br /> Utility qccount No. <br /> Billing Address Permit Fee none <br /> City, State, 2ip __ Connection Charge(s) <br /> Owner (Mortgagor)_ _ Total Fee nonc <br /> Billing Name <br /> Connection By City of Everett <br /> Address 17�n hiller <br /> Signed <br /> Phone a�:�o�,,,., ----- <br /> DESCRIPTION: Sewer District <br /> Lot Block -- — <br /> Plat _ MonthlySewerService_____ _ <br /> Unplatted Descriptio� Mon[hly Sewer Constr. <br /> Type Permit: rerair Trwik <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N' S' E' ��--- ------ ft. <br /> � .� . � `, .i .r „ ' f <br /> � �"• � fi. l�;arren <br /> � �. �i� ' i, �r _ , ��PProved By <br /> ��� �'-�' Gty Engmccr <br /> r. ^on�i <br /> Issucd By <br /> Inspec[ion By /�� — -_--- ' <br /> --------- Date Inspected - i <br /> SEE SKETCH ATTACHED No. 23413 <br />