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rF <br />IL <br />City of Everett <br />•' <br />r-. ct • <br />Sewer Application <br />and Permit <br />a: cv <br />~- <br />No. 23646 DATE <br />Jame 25, 1980 <br />Service Address 9509 19th Avenue S.E. <br />Utility Account No. <br />Bill;.. Address <br />none <br />Permit Fee <br />City, State, Zip <br />Connection Charge(s) <br />none <br />Owner (Mortgagor)_ <br />Total Fee <br />— <br />Billing Name <br />Connection By City of Everett <br />Signed Don Miller <br />Address__— <br />I <br />Customer <br />Phone <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Tvnn Pormit• NEW CONNECTION <br />Remarks: I <br />it r •�u c <br />t CALL THE CITY ENGINEERING CONSTR ICTION <br />DIVISION (259.88111 FOR AN INSPECTION <br />CONSTRUCTION Oi4 PUBLIC RIGHT-GF-WAY <br />Abutting Lot Line <br />N, S, E, W <br />H. Warren <br />Approved By <br />City Engineer <br />E. Bond <br />Issued By <br />Inspection By—z�1�'` ' <br />Date Inspected %•� -�Q <br />07 � No. 23646 <br />SEE SKETCH ATTACHED <br />CUSTOMER COPY <br />I <br />