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i� <br />�A <br />Ci <br />L <br />T <br />CHART NO. <br />D <br />Z O-Z9 S <br />fYf{•fn <br />� <br />�— <br />� � <br />e <br />o <br />w p r., <br />U > COO <br />o <br />11.1 <br />o <br />1/ <br />City of Everett <br />o <br />o <br />z <br />n'= 2 ..o <br />o <br />Sewer Application and Permit <br />r <br />' <br />ND. 24669 DATE November 16, 1983 <br />182G Walnut.15'7— <br />Service Address -----Utility Account No. <br />Billing Address Permit Fee None <br />City, State, Zip Connection Charge(s) <br />Owner ;Mortgagor) Total Fee <br />Billing Name_ <br />Connection By City of Everett <br />Don Miller <br />Address Signed <br />Cusmmer <br />Phone <br />DESCRIPTION: Sewer District _ <br />Lot Block <br />Plat <br />Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Repair Trunk <br />' <br />P i <br />SEE SKETCH ATTACHED <br />CUSTOMER COPY <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />A. R. Theal <br />Approved By <br />Cty Engineer <br />E. Bond <br />Issued By <br />Inspection By_�1,� ."�L� <br />Date Inspected //—l1_1L.J_ <br />N0. 24669 <br />1 <br />J <br />L <br />J <br />