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r <br /> CHART N0. V � � <br /> evereri <br />� <br /> e <br /> ICity of Everett <br /> Sewer Application and Permit <br /> NO. 24523 DATE �/19/83 ���;-f��� K.`_ = l= r'=: <br /> 1 Service Address i51S Oak�s � �i Utility Account No. <br /> Billing Address Permit Fee T7one <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee None <br /> Billing Name I <br /> Connection By_ City of E��rett <br /> E <br /> Address Signed Don Miller � <br /> customer <br /> Phone <br /> DESCRIPTIOfV: Sewer District <br /> Lot Block Monthly Sewer Service � <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ?+epa�_ <br /> Lateral � <br /> Remarks: -;� , , ,,, � , : � -- <br /> Abutting Lot Line I <br /> � i< ; N g E, yy ft. <br /> —. �' I <br /> . �y � i�r, .�= - ��•� ' „i� //, /I • ��� �I <br /> Approved By n. A. Theal <br /> i .r /_ . /,.� ., — . , : T� /7: l . . : , , ,; :, cuv e�9����� <br /> '__=s:� - /; �i.� �- --r 1- �:r: '/ .';/. ff '/, I.' . E. Bond <br /> Issued By <br /> � <br /> : <br /> Inspection By - � i <br /> Date Inspected '� � I <br /> ^,,+�,, " SEE SKETCH ATTACHED N�• Z4523 <br /> INtiP�CTION <br /> � J <br /> L <br />