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^ � � nn 2 � CHART N0. <br /> ` �'' 11� � i , <br /> everett � " <br /> '� , � ' <br /> � ..°__"�..._1980 <br /> .. _�� i � 0� [VE?[TT <br /> City of Everett ; �`�;�, <br /> i",'� <br /> ,,��,� A^.cr�, <br /> Sewer Application and Permit <br /> No. 23543 <br /> DATE 3��80 <br /> Z412 p+�it� ��°n� Utility Account No. <br /> Service Address — y,50 <br /> 13.19 Paeilic arsr+w �°m 10 Permit Fee <br /> Billing Address <br /> City, State, Zip ��ntt' �' 98201 Connection Char2g 50 <br /> K p g partnezs?�ip Total Fee <br /> pwner (Mortgagor� <br /> M D E YartnarahiP <br /> Billing Name <br /> Connection Ry q�eck !!�476 <br /> Signed Cus�omcr <br /> Address �-- <br /> Phone Z5�-G300 <br /> Sewer District <br /> � DESCRIPTION: <br /> Block 74Q <br /> lot ZS— Monthly Sevder Service_ <br /> � yh�rett Lands Oo.'s lst � <br /> Plat Monthly Sewer Constr. <br /> Unplatted Description — <br /> 4 Trunk <br /> Type Permit: CaP"off �a�eral,_�_ — <br /> Remarks: Abutting Lot Lin� fi <br /> N, S, E� W — <br /> � _ _ <br /> _ ; %, r I <br /> N. Harrea � <br /> Approved BY ���Y Engineer � <br /> �, <br /> ( E. aond <br /> Issued By — <br /> 5 ' � � <br /> Inspection By�— i <br /> Date Inspected <br /> No. 23543 � <br /> SEE SKETCH ATTACHED � <br /> iIJSf'LCTIOIJ I <br /> � <br />