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CHART N0. � Zo- z 9—S <br /> everett <br /> e <br /> City of Everett ( <br /> Sewer Applicatiun and Permit <br />� 24453 3/l0/83 � -.: .`; _ �� �_- <br /> NO. DA7E <'�-:�= <br /> Service Address 1823 Rotkefellez Utility Account No._ <br /> Billing Address Permit Fee Nona _ <br /> City, State, Zip _ Connection Charge(s) <br /> Owner (Mortgagor) __ Total Fee None <br /> Billing Name <br /> Connection By City of Rveratt <br /> Don Atiller <br /> Address Signed _ <br /> Cus�omer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot B lock <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> — ' Trunk <br /> Type Permit: Repair <br /> Latcral <br /> Remarks: <br /> — Abutting Lot Line <br /> . .' � .; 1'. t� /, . � N, S, E, 'JJ fL <br /> ,� / i� _ �— <br /> A. R. Tl�eal � <br /> Approved By _ � <br /> C�ry Engincer �. <br /> E. Band i <br /> Issued By i <br /> � � .—�� ( <br /> Inspection By ' ` � � r �� <br /> IDate Inspected__=' _ ' • � _ <br /> SEE SKFTCH ATTACHED N0. 24493 i <br /> IN�PI Ci�101v <br /> � <br />