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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 23402 DATE <br />11/27/79 <br />Service Address - <br />Billing tlet ora Avrnua <br />Billing Address 9502 19th Avenue S.P.. <br />City, State, Zip_ Bwrettr we. 98204 <br />owner (Mortgagor) Joao Gaffney Constr oction Co. <br />Save <br />Seer <br />Connection By _-- <br />ns.,.-- 337-7600 <br />DESCRIPTION: <br />Lot 121ara N3.75'0Ek14'821 <br />Plat Everetty "A" _ <br />Unplatted Description <br />CHART NO. <br />Utility Account No._ <br />Permit Fee <br />Connection Chargels). <br />Total Fee_ <br />Post-o <br />L -ZZ -)90 <br />96 <br />2.50 <br />2.50 <br />Signed <br />Customer <br />Sewer District <br />Monthly Sewer Service Metered <br />Monthly Sewer Constr. <br />Type Permit: am Cap -off. <br />Lateral <br />Remarks: C _ O _ /VU T ISVE C--D - <br />Abutting Lot Line <br />.--� 1 3RN 80 I N, S, E, W <br />SEE SKETCH ATTACHED <br />INSPECTION <br />❑. Warren <br />Approved By <br />CirV Engineer <br />r. Bona <br />Issued By <br />Inspection <br />Date Inspe <br />No. 23402 <br />