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everen <br />� <br />City of Everett <br />Sewer Applicatian and Permit <br />No. 24881 <br />DATE � � <br />Service Address. �n % �� ���f� u�-�� <br />Billing Address 1/ I= A/G1 5 I N(�t�r-�'-=7/�l f� <br />�� <br />CitY,State,z;p�l.�� �Arl.r�r,1� �(LF!P <br />Owner (Mortgagor) <br />Billing Na <br />Connection <br />Phone � � (!/ � U � <br />DCS(;RIPTION: <br />Lot , Block <br />Plat <br />Unplatted Descri <br />Tvne Permii� <br />CHART NO. D � "1-�' � <br />Utility Account Ny. <br />Permit Fee � L, s � <br />Connection Charg�s) <br />��� 'L , S'-a <br />Total Fee _. <br />Signed1 — —. <br />Customer <br />SEE SKETCN ATTACHED <br />INSPFCTIO'v <br />Sewer Distnct__ <br />Monthly Sewer Service <br />Monthly Sewer ('onsti. <br />Trunk <br />Laterd <br />Abutting Lot Line <br />N, S, E, 1N_ <br />Approved By _ <br />Gry EnBineer <br />I ssu ed <br />Inspection <br />Date I <br />No. 2488Z <br />