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CHP,RT <br />everett <br />� <br />City of Everett <br />/os%ED <br />/Z-Zo• �� <br />�� <br />Sewer Ap�l�cot�on and P�rm�t <br />n,o. 23416 DATE ��10/74 � <br />2512 A`alaut w 3L� /�� !� %a.�r'u! Utilit Acwunt fJ <br />Service Address Y <br />Billing Address Permit Fee <br />Ciry, State, Zip Connection Charc <br />Owner (Mortgagor) Tnt,l f=rv <br />Billing Name <br />Connection By �tp of. �nrerett <br />DESCRIPTION: <br />Block <br />Plat <br />Unplatted Descripti <br />Tvpe Permit: reoair <br />none <br />none <br />por Hiller <br />Sini��d <br />Sewcr District__ <br />Monthly Sewer Service.___ <br />Monthly Sewer Constr. <br />Trunk__ <br />La[eral <br />SEESKETCH ATTACHED <br />INSPECTION <br />butting Lot Line <br />N, 5, G, �V___ _ <br />ppruved L'y <br />5 <br />sued f3�•_ <br />It. ?:�arrvt <br />Ciry Enginect <br />F:. �end <br />l <br />ispection f3y�� � (� ,•' l %r� � -� . � jjG <br />atc Insper.ted__- -L � // - -i{ ---_-- <br />rvo. 23416 <br />