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► � � <br /> 1 <br /> � <br /> 'i <br /> I <br /> ,I <br /> CHART NO. - <br /> eve�ett J <br /> e °� q� � <br /> 3-zs_gz <br /> City of Everett n Y1� <br /> (f� i <br /> Sewer Appiication and Permit <br /> NO. G4196 3/4/82 <br /> DATE <br /> 3516 Maple <br /> Service Address_ Utility Account No. <br /> tione <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor) <br /> Total Fee Siona i <br /> , Billing Name � <br /> Connection By City of F.vecrntt <br /> � <br /> Don Miller <br /> Address Signed_ <br /> Customer <br /> Phone � <br /> � <br /> OESCRIPTION: Sewer District <br /> i <br /> Lot _ Block <br /> Plat Monthly Se�vcr Service � <br /> ' Unplatted Description Monthly Sewer Constr. i <br /> I <br /> � — Trunk j <br /> I Type Permit: re air <br /> Lateral � <br /> � Remarks: , y; , , -f� !� � i� � <br /> Abutting Lot Line I <br /> q � �; � :/. , ,� N, S, E, W ft. � <br /> / <br /> ,� - - ! <br /> n. P.. Theal I <br /> Approved By <br /> I Ciry Enyineer I <br /> G. Bon3 <br /> Issued By_ — <br /> , - <br /> r � <br /> — � <br /> ,; Inspection By_ - � <br /> Date I nspected_ �" I! <br /> SEC SKETCH ATTACHED N0. ZQ196 j <br /> INSPECTION <br /> I <br /> � <br /> . � _ • � '— - . _ <br />