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CHART N0. " <br /> everett <br /> C`� j�� <br /> e ,_ z�- <br /> L� <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. 241Z9 DATE lz/15/81 <br /> r /i�� r <br /> 290] Victoz Placa ! -- '!' � Utility Account No. <br /> Service Address — <br /> ttone <br /> Permit Fee <br /> Billing Address <br /> Connection Chargels) <br /> City,State, Zip Nono <br /> Total Fee — <br /> pwner (Mortgagor)_ <br /> Billing Name <br /> City o! Svaratt <br /> Connection By 7[SXRYXSHiIY Don Millez <br /> Signed a:�o�� <br /> Address I <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_ -- Block Monthly Sewer Service <br /> Plat Monthly Sewer Constr. <br /> Unplatted Description <br /> Trunk <br /> Type permit: Rapair � Lateral <br /> Remarks: I Abut[ing Lot Linc ft. <br /> >� �f, %7 s „� ' .r ,w.7 1� 1 J )- �I//e ,� N' S� E� W I <br /> / _.�_ <br /> .1J�� d- .-l.i�' ((.�. /11. /-�. iI%rr <br /> � <br /> �,, A. Theal I <br /> APPI OVC(J BY� �.�tv Engineer I <br /> E. Bond I <br /> Issued By <br />� I <br /> I I <br /> p � ) <br /> �' � � �/ /i,l 1 l ' � ��� I <br /> Inspection BY � � <br /> / �L �.� - j. ! - I <br /> Date Inspected " <br /> No. 24�29 <br /> SEE SKEICH ATTACHED <br /> INSPECTION I <br /> _ ._. .. , <br />,i <br />