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CHART NO. <br /> everetl <br /> e <br /> City of Everett <br /> Sewer Application and Permit �"�"�T " (f�� � ���- - <br /> �� , <br /> N0. 25221 DATE Auqust 19, 1965 <br /> 3R24 Smith Avenue <br /> Service Address Utility Account PJo. <br /> 3007 Pannview �0.00 <br /> Billing Address Permit Fee <br /> City, State, Zip ttverett, Wa. 98203 Connection Chargels) <br /> b Lund 30.00 <br /> Owner (Mortgago�° Totai Fee_ <br /> Billing Name Ordinanca 981-03 <br /> 000.00 <br /> Connection By <br /> Address Signed <br /> c�s�om�� <br /> Phone Z58-1777 <br /> DESCRIPTION: Sewer District <br /> Lot Blockptn 25 <br /> Monthly Sewer Service <br /> Plat .T c_ ct e Acre Tracts <br /> Unplatted Description Monthly Sewer Constr. <br /> Tru n k <br /> Type Permit: tvew Cannectian <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line ;�a=thend <br /> N, S, E, W ft. <br /> Approved By �• R. Thoal <br /> City EnBineer <br /> Issued By E• �nd <br /> ��I u� <br /> O � / � � <br /> � �u'� j� Inspection By � ' �u`� <br /> � � �v�� Date Inspected 3' Z 6— <br /> S I <br /> SF� SKETCH ATTACH��NP�o,rl� N�• ZSZZl <br /> �r <br /> R�SFECTION <br />