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U <br />City of Everett <br />Sev�rer A�pli�ation and Permit <br />N0. ZZ�7O DATE ; / ' - <br />Servicn Address � • ' � =� - '' � �-- <br />/ <br />9illing Address ln• -- E /%'� i <br />City, State, Zip • �. '''�' .� �`� <br />Owner IMortgagorl/,— � . ' "J <br />Billirg Name_.. � <br />l%" <br />Connection <br />_, <br />Rhono ' � ' � � � =—�---- --- <br />DESCRIPT�I�ON: <br />Lot�.� — 9�ock — ,,`/ <br />Plat �.� L ..`--`; � — � --� ' <br />Unplatted Description_ — <br />Type Permit: �j __ <br />Remarks: <br />SEE SKETCH ATTACHED <br />�'� Q••••• 760�7a <br />� � <br />`lltility Accoun[ No. / � l ' <br />J / <br />Permit Fee_.��--- - <br />�, r � <br />Connection Chargels) � �' �� — <br />- �.�- <br />Total Fee._ � �� <br />�. . - � <br />% k� <br />/�� � .��� <br />Signed / cw,o�„�� <br />/ i <br />Sewer District_ - _ / L <br />� / <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />INSPEC710N <br />Latera <br />Abutting Lot Lina <br />n,5,E,W <br />,r <br />Approved By J 'y — <br />CitY Enpm�a �/ <br />/ <br />Issued <br />Insp^ction By <br />Date Inspected _ <br />NO. <br />2297� <br />� <br />