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\ i ` <br /> CHART NO.� � � <br /> everett <br /> _; <br /> ,, <br /> t� 1'.`�� � j^ <br /> ` ,: <br /> Ci;y o� Everett <br /> $ewer p►pplicatican and Perrnit ��, <br /> ,,,;,,., <br /> No. 23292 DATE — L- -------- <br /> 2120 Rockefeller Utility Account No. <br /> Service Address__ <br /> nona <br /> Billing Address <br /> Permit Fee _ - <br /> City, State, Zip Connection Chargels) <br /> nonc <br /> Owncr (Mortgagor) -- Toui� Fce_ __-_----- <br /> Billing Name <br /> City of Evezett <br /> Connection By � cn i::llcr <br /> Address Signed_ _ _ - -- i-��.i�,�- ,-- - ---- <br /> Phone - <br /> DESCRIPTION: Sc�•:�r lJistrir,t__ - - -- - <br /> Lot_ B�a�k Monthly Sewer Service_ ----- <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk_ _ _ - ----- -- <br /> Type Permit: repair <br /> Lateral <br /> � <br /> Remarks: ,�// � ��p�r� /I�f�, �� Z Z�" Abutting Lot Line <br /> � � - - - --it. <br /> ;; _i�iJ;.�_ l �� .J7/l.i�/ �/i�� N, S• E, W - <br /> / /� •V . � / c.�'�' <br /> O .� � J /� ' /�c•�i <br /> it. warre�� <br /> Approved By ----- <br /> L _ .• Ciry Enginccr <br /> �� F7//`��' <br /> �. Bonu <br /> � ,y5- o ?�.✓v'� Issucd f3Y--- - -� -- - <br /> � �- „/ J � (�C n-�� �- <br /> I nspec[ion By— '-v:_:---�------ —----- <br /> ' Datelnspected --- <br /> SEE SKETCH ATTACHED NO. 23��2 <br /> . .� ��i ! ;l'r; <br />