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� <br /> �' CHART N0. -� 1�-2 9 - � <br /> everett I <br /> e <br /> City of Everett <br /> � <br /> Sewer Applicction and Permit <br /> NO. 24535 DATE 5�2�63 �'==+�c� h'l� S-/� -63 <br /> 2110 Rockef�llez Utility Account No. <br /> Service Address <br /> Billing Address <br /> Permit Fee None <br /> City, State, Zip Connection Charge�s) <br /> None <br /> � Owner (Mortgagorl_ Total Fee <br /> Billing Name <br /> Co�nection By <br /> Cily� of Everett <br /> Don Miller <br /> Address Signed <br /> cu:,omer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Rapatr <br /> Lateral __ <br /> Remarks: -;, � ;; � , , �� •'- Abutting Lot Line <br /> ' � , � N S E W_ ft. <br /> � �Y__ / . . _ � j� . <br /> // i �/. / <br /> � .�/ i <br /> A. R. Theal I <br /> - - Approved By <br /> Ciry Enginerr <br /> I <br /> E. Bond <br /> Iss��d By <br /> ,• -i, ' ,:�,�/.� . :--7--'_ � <br /> Inspection By I - <br /> � Date Inspected ' 1 <br /> SEE SKETCH ATTACHED N�• 24535 <br /> INSPECTION <br /> L - - -- <br />