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CHARTNO._D 2-�� "'2�t -5 <br /> � <br /> � — <br /> �paSTE� � -S'So <br /> City of Everett <br /> � <br /> Sewer Application and Permit <br /> No. 23574 DATE 4n0/BO <br /> 19s1 oa�:os <br /> Service Address Utility Account No. <br /> 2132 tiiahland Awnue 30.00 <br /> Billing Address Permit Fee <br /> I:verett, Ka. 98201 <br /> City, State, Zip Connection Charge�s) <br /> Owner (Mortgagor� ���nco tt. Nalbach Total Fee 30.00 <br /> Billing Name S� <br /> Lavrence Fi. Nalbach <br /> Connection By <br /> Address _ Signed <br /> 252-7950 c�stamer <br /> Phone <br /> D�ESCR1�100-11 g�ock 38Z Sewer District <br /> Plat �e1ett Din. "K" �/lonthly Sewer Service _ <br /> Unplatted Descripiion Monthly Sewer Constr. <br /> IZex Connection TrunK <br /> Type Permit: - — <br /> Lateral_ <br /> Remarks: <br /> Abutting Lot Line �tortliend <br /> N, 5, E, W ft. <br /> - � �' t✓ / it. Warrmi <br /> Approved By <br /> Gty Engm cr <br /> E. Don� <br /> Issued By <br /> _ Inspection 8y����p1la_..---- <br /> -7 �, � <br /> _ _ Datelnspected � ! �UNE �� <br /> SEE SKETCH ATTACHED No. 23574 <br /> INSP[CTION <br />