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CHART NO. S��-Z� S _ <br /> everet! <br /> � j�si�/� <br /> City of Everett ,��� `� —O � <br /> Sewer �4pplication ancl' Permit ��� <br /> No. 23514 DATE �4/E30 <br /> 1510 12th street <br /> Service Address Utility Account No.__ <br /> Billing Address Permit Fee none <br /> City, State, Zip Connection Charge�s) <br /> Oti�ner (Mortgagor) Total Fee none <br /> Billing Name <br /> City of EVerett <br /> Connecticn By <br /> Don 4Sller <br /> Address Siyned <br /> CuSiomcr <br /> Phone <br /> I � <br /> DESCRIPTION: Sewer District � <br />�� i <br />� Lot Block � <br />� Plat Monthly Sewer Service___ <br /> i� Unplatted Description Monthly Sewer Constr. <br />� Trunk <br /> I� Type Permit: P.eoair <br />( Lateral_ <br />�N Remarks: � <br /> i�� Abutting Lot Linc <br />� �I _ f�l, S, E, ��V fL � <br />�';i -I <br />� ; � „ I <br /> . �.,rr.�. <br /> � Ap�roved By <br /> ��� ,,�� 1..'4 -'� �J . �� � / - //.• i•_ CiIVEn9mm�r <br />� ., <br />� ' . ' �. ��L ..� "�//��� '. . <br /> — <br /> , .�.� j�r— ' ' .. <br />' __— <br />� � � <br /> T i,�i'�e(� {51—. _.— <br />��I <br />�I <br /> Inspection By , i � _ _ — <br /> ! Date Inspected + r` <br />�� SEE SKETCH ATTACHED ~ �!�. ���71 `► I <br />�ii� 11151�[Cl '�' I <br />