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Ee <br />City of Everett <br />Sever Application and Permit <br />NO. 23974 DATE 4/29/81 <br />IService Address 1710 35th Street <br />Billing Address — <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name. <br />Connection By City of Everett <br />DESCRIPTION: <br />Lot _ <br />Plat <br />Unplatted Desch <br />Type Permit <br />Block <br />Repair <br />SEE SKETCH ATTACHED <br />CHART NO��z——�� <br />J 2� 5 <br />i'ns7 f) S--ICI8 / <br />Utility Account No. <br />Permit Fee none <br />Connection Charge( <br />Total Fee none <br />Signed Don ?tiller <br />Customer <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />[butting Lot Line <br />N, S, E, W <br />pproved By A. R• Theal <br />City Engineer <br />sued By IT. Bond <br />spection By <br />to I nspected <br />No. 23974 <br />ua <br />