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r CHART N0. Co ��"Z4� � <br /> everett <br /> e �s�-� <br /> City of Everett Z �� ` �D <br /> �� <br /> Sewer Application and Permit <br /> No. 23351 �t0�°r �6. 1979 <br /> DATE <br /> 932 Malnut Sts�at <br /> Service Address Utility Account No. <br /> Billing Address 2132 Aiqhland A�+aw Permit Fee 30.00 <br /> City, State, Zip ��tt, tia. 98201 Connection Charge�s) <br /> Iawrence Nalbach 30.00 ; <br /> Owner (Mortgagor) Total Fee ___ _ _ _ i <br /> �ao�e <br /> Billing Name <br /> Seme I <br /> Connection By — <br /> Address Signed ___ ___ <br /> c��,;�,,:;— <br /> Phone Z52-7A50 I <br /> i <br /> DESCRIPTION: SewerDistrict ___ -- � <br /> Lot 18-19 Block la9 <br /> Plat �rett niv. T Monthly Sewer Service__ _ -__— — I <br /> l�nplatted Description Monthly Sewer Constr. — I <br /> Type Permit. �aW Connection Trunk <br /> Lateral I <br /> Remarks: Abutting Lot Line Worthend I <br /> � ��; U N, S, E, W fr. I <br /> � <br /> Y.. Warren � <br /> Approved By _ <br /> City F.nBineer <br /> II. �?ond � <br /> Issued By _ <br /> � I <br /> Inspection By� �1'�'��;;r �-:i• . . , .. --- , <br /> _ Date Inspected �—'y �f-- �U <br /> SEE SKETCH ATTACHED No. 23351 <br /> INSP[CiION <br />