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everett <br />e <br />City of Everett <br />N-,�. �-r. , <br />Sewer Application and Permii� <br />No. 23577 6�i� DATE <br />dna�eo <br />s 1� 6 8 He.erly elra. <br />Service Address <br />Billing <br />City, State, Zip <br />DanazA �siom 6oe�es <br />Owner (Mortgagor) <br />Billing Name <br />Connection By_ <br />Address <br />Citp o! Evazatt <br />CHART N0�' 6 - � � - <br />Z <br />Utility Account No. <br />Permit Fee <br />none <br />Connection Charge�s)_ <br />Total Fee <br />none <br />pon Mills�� <br />Signed <br />Cuztomer <br />DESCRIPTION: Sewer District <br />Lot Block �-O� B Monthly Sewer Service <br />Plat S.P. �202-52'79 <br />Unplatted Description Monthly Sewer Constr. <br />Trunk —_ <br />Tvna Permit� Nev Cnnnactloa <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Latera <br />Abutting Lot Line <br />N, S, E, W <br />fi. xarran <br />Approved By <br />Ciry Engineer <br />E. Bond <br />Issued <br />I nspection By �-�� /��r- �. u rr/ � <br />Date Inspected�t�—._(u <br />No. 2.3577 <br />