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I- �i � <br /> CHART N0. � <br /> everen <br /> e <br /> City of Everett � �� <br /> 1 % <br /> Sewer Application and Permit <br /> NO. 24747 DATE ��T1� 2. 1981 <br /> Service Address 3613 IMuton Utility Account No. <br /> Billing Address Permit Fee �� <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee NO°° <br /> Bitling Name <br /> Connection By �!y o! Lhr�pt! . � <br /> Address Signed �° �u�= <br /> Customer <br /> Phone <br /> DESCRiPTION: Sewer District <br /> Lot Block_ _ <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> - N, S, E, W ft. <br /> �. <br /> Approved By A- R. Thaal <br /> �G�� . � I Citv Enpineer <br /> ri��w.1 ,--�'� kr�-�.--N � <br /> Issued By 8• B°°d <br /> Inspection By �'-� � �� <br /> , i ' I <br /> Date Inspected_ ::� / - ��/ � <br /> SEE SKETCH ATTACHED N�• Z4747 <br /> _ INSPECTION n�.� <br /> J <br />