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;� , � .. siI`� �i ' a h <br /> CHART NO. �\ .>0 "29-5 a i� �; � <br /> ic � ` <br /> i � -- <br /> everett �� � � <br /> ``t1� " �xll�f 4'F <br /> � � � �_ . �1.. �i�.; <br /> . �, . . . .�¢{; ��...,.J <br /> City of Everett ` i--, <br /> . <br /> ; � %'�, �� <br /> - ' �, .� <br /> Sewer App�location c,�nd Pern�it i ���, �°��`� <br /> I� 1 "� <br /> No. 233�3 DATE 11/15/74 - -- 1 ;;y�'�� <br /> �ti� � <br /> 1412 36th Street �'''�' i`, <br /> Service Address Utility Account No. ' : <br /> 'x Ta ¢8 <br /> 1 fd a <br /> Billing Address Permir. Fee °OA° — t+�' �� <br /> .i��. <br /> � �,�� . r <br /> City, State, Zip Connection Charge(s) — ��,,��1���, <br /> nonr. w � <br /> Totral Fce--- -------- _ ,+'���'� � <br /> Owner �Mortgagor� _ — i <br /> '.,P�k � <br /> Billing Name ` `•'; �;`` <br /> �`�x; �i <br /> City of �+erett �.'-i�i �' <br /> Connection By �';;p�t� <br /> ,: <br /> rnn rrillrvr �i�a�; <br /> Siyned -.� <br /> Address Cus�mn•,i "_- '— �;,,�.I <br /> Phone ;,.�5�� <br /> ; ;��,� <br /> DESCRIPTION: Sewer District __ __ -- ";,' <br /> Lot__ Block — Monthly Sewer Se�.�icc—_-- ----__— -__— '' <br /> ,;� <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. ' r ,. �'� • '" <br /> Trunk <br /> Type Permit: repair <br /> Lateral <br /> , <br /> „ <br /> Remarks: � � �� �":. <br /> Fy� <br /> e } ` t, d <br /> �� e , , � � i i „ , . , . ', : .. AbutunN Lat Lmv , <br /> 9 S, 1= l -- —.— ---- ` '�i <br /> •;(;' <br /> ,� � i�l� �!- i , . // /� ,s �� �i��', <br /> — � f/ ` � i <br /> . , <br /> 1!. :•iarren <br /> Approved By ---- <br /> Ciry Engineer <br /> ^. BOrld <br /> — — Issued By — <br /> . . <br /> Inspection By -- ' <br /> Date I nspected // " /�` � /,Y <br /> SEE SKETCH ATTACHED No� 23393 <br />