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everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />CHART N0. <br />��.�� <br />3-Z.S � <br />N0. C4220 DATE 3/17/82 L_ _ <br />taarch 17, 1982 Utilit Account iVo. <br />Servi�e Address 1' — <br />1812 22nd Street ?7one <br />Bilting Address__ _ Permit Fee — <br />City, State, Lip Connection Chargels) <br />t7onc ' <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection By �ity o£ k�verett � <br />Don t�liller ! <br />Address Siyned — � <br />CuSrom�r � <br />i Phone , <br />I DESCRIPTION: Sewer District _ -- <br />I Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description _ Monthly Sewer Constr. <br />� ��a ,. �--�Trunk�� <br />I Type Permit: ,�r MJLi,� C-�vvv�t� L.�'�^' � ��I`�" 1C ..�..fi:" — <br />� � <br />Remarks: <br />„ <br />I � <br />(' � � <br />. , . � . -. � . � ! . . : : �'J <br />Lateral_ <br />'Abutting L�.�t Line <br />N, S, E, W <br />I <br />Approved By n. R. The. �l I <br />City En9ineer <br />— I <br />g, Bond <br />-- Issued Bv ; <br />SEE SKETCH ATTACHED <br />I�.lSi'I:CTIf)hl <br />I nspection <br />Date Inspe <br />NO. Z�Z�� <br />