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CHART NO._ <br />evereH <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO. 24108 DATE 3 L <br />Service Address 7 3 /�'C� 4x Utility Account No <br />Billing Address 2 7 J'3 %l.r '• Permit Fee <br />City, State, Zip <br />Owner <br />ME <br />_� Connection Charge(s) <br />Connection1BLO"r <br />Address 7 7f lliy�T <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Block <br />SEE SKETCH SKETCH ATTACHED <br />pos&Y) <br />I_ , _ 10 , <br />30 &-o - <br />Total Fee .� <br />Signed <br />INSPECTION <br />Customer <br />Sewer District__ <br />Monthly Sewer Service, <br />Monthly Sewer Constr. <br />Trunk _ <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By� <br />City Eny neer <br />Issued By <br />Inspection BV Ql <br />Date Inspected_ <br />No. 24108 <br />