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��I <br />evereft <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24927 <br />DATE �/I,.� �� 7 <br />CHART N0. Q'- � h"� E-�� <br />'-- -'- "" ' r ; i ( �l� r <br />.,; . <br />Service Rddress_L,z_4 ��-�� . aG�tility Account No. <br />�Q �0-- <br />Billing Address ��n ci -+cl ��.,�s��� %��ermit Fec 3C1 �� <br />City, State, Zip_ � _ !.d Connection Charge(s�_ <br />o� <br />Owner (Mortgagor) � Total Fee �70 ''"^ __ <br />Billing �ame_ <br />. <br />Connection By � <br />Address r3/ `� �,i�d �- �- <br />Phone �b,.����1•�%. <br />DESCRIPTION: <br />Lot <br />Plat — <br />Unplatted Descr <br />Slyneu / � • <br />Cuswmer <br />SEESKETCH ATTACHED ' <br />Z <br />INSNL"C'fION <br />Sewer District.. <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />Approved BY.` '�//Zr-4L/' <br />City Engineer <br />Issued By_ � � ( " <br />Inspec <br />Date I <br />N�. L4�G ! <br />� <br />.. <br />� <br />