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- � <br /> everett <br /> CHART NO. `� t1 " 2`� - 5 <br /> e . <br /> City of Everett � �\�� � <br /> 6-� -&� <br /> Sewer Application and Permit � <br /> 5/19/80 � <br /> Na� 23609 DATE <br /> Service Address 1810 l4ap2e <br /> Utility Account No. <br /> Billing Address Permit Fee n°ne <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee nane <br /> Billing Name <br /> Connection By City of Everett <br /> Address Signed mn �llar <br /> Customcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: ReP� Trunk <br /> Lateral <br /> Remarks: <br /> � Abutting Lot Line <br /> _ � - ..� • S , ,-f,-, <br /> r� „ � ,c . 7.�-.-� N, 5, E, W <br /> ; ;� ft. <br /> � ;� <br /> �� � "� •J /'f /// !'f .r .�_. . <br /> Approved By H• W�ren <br /> Ciry Engincer <br /> E. Boad <br /> Issued By <br /> _ Inspection By '==': �� 1//,�> ti..� 7-� <br /> Date Inspected � -� %-�U <br /> SEE SKETCH ATTACHED N�• 2360.7 <br /> INSPECTION <br /> i.. _, <br />