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CNnR7 ''O.__ <br />everetl <br />e <br />C.I� O� EVBf@IL <br />Sewer Application and Permit <br />4��8�80 <br />No. 2 3 5 7 i DAT[ ---_- ---- L-- <br />6708 A 6 B Heverly Blvd. Utility Account No._ <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />pwner IMortgagorl <br />E3illing Name_ <br />Connection By_ <br />Danard Custom Homee <br />City of Everett <br />none <br />Permit Fee — <br />Connection Charyclsl_ <br />nonc <br />Total Fcr,__ _ <br />Don Miller <br />Slgned__- - -- - - —___ <br />a„��„�„•, <br />DESCRIP110N: SewcrDistrict__ ____ __ <br />Lot Block — MonihlySewerScrvire_____ <br />Plat L°t B SP 1202-41-79 _ <br />Unplatted Description ____-- Monthly Sewer Constr. <br />Trunk_,____.__ <br />Typ¢ Permit: New Connection <br />Lateral <br />Remarks: Abutting Lot Line <br />'� ..;�n i �� i: r �� ,�. N, 5, E, W --- <br />� ��,: . � . <br />��,,��,�. . <br />� I I Y��1 I�!;_'_ <br />u <br />SEE SKETCH ATTACHED <br />Approved B <br />Issued By_ <br />Inspection <br />Date Inspe <br />H. Warren <br />C�IY Enqmem <br />C. Bond <br />No. 23577 <br />