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CHART NO. Z� I�- 2�t � S <br /> eve�eR <br /> e � <br /> �ST� D ��26raq <br /> Ci!y of Everett ' <br /> S�wer Application and Permit RJ <br /> No. 23526 DATE M°rch il, 1980 — <br /> 2819 Ruck�r Aw��e <br /> Service Address Utility Account No. <br /> Billing Address _ Pr,rmii Fee none <br /> City, State, Zip Connection Charge(s) <br /> none <br /> Owner (Mortgagor) Total Fee _ <br /> Billing Name <br /> Connection By �ty of �erett <br /> Pon Hillnr <br /> Address Siyned <br /> c�,:�o�„��� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Repair Trunk_ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W it. <br /> / � ;'/ <br /> f r' ,,� ,. /, � - �� ../ -' i•, . :I. SVarrcn <br /> � Approved By <br /> ��. i-� /! � �> / Y .�..�, Gry Engincer <br /> •/ i/ � .:ii:� ,'i_ L'. DOnd <br /> . - Issued By <br /> Inspection By ��� %' <br /> Date Inspected <br /> i SEE SKETCH ATTACHED � No. 23526 <br /> INSPECTIGtJ <br />