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CHART NO. rn Z i - Z� '� – <br /> e.verett <br /> e ����� <br /> , _ ,� - �� <br /> City of Everett � <br /> � <br /> Sewer Application and Permit <br /> AN0. Z4137 DATE 1�6/82 <br />� Service Address 3609 23sd SYr��i Utility Account No. <br /> 10.0u <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Charge(s) <br /> 10.00 <br /> i Owner (Mortgagor) Jae�s Vaad�rN��k�n Total Fee <br /> Billing Name <br /> i <br /> Connection By 8i�� / <br /> , � � <br /> Add�e55 5�9�� � � Cusiomer � <br />� 353-2500 <br /> Phone <br /> DESCRIPTIO�: Sewer District <br /> Lot M 40' 17-18�k 160 <br /> Monthly Sewer Service <br /> Plet_ nnion Trn�t 'Le- �■ 1�! <br /> Unplatted Description Monthiy Sewer Constr. <br /> Trunk_ <br /> Type Permit: p��r <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W_ ft. <br /> Approved By x•R• Th�al <br /> City Engineer <br /> S. BOAQ <br /> Issued By <br /> Inspection By �� <br /> Datelnspected � <br /> SEE SKETCH ATTACHED ND• Z4137 <br /> INSPECTION <br /> L — — <br />� <br />