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everett <br />�e <br />City of Everett <br />(�C,C ,�, CHART NO'.��"_, �:_.- <br />� <br />��_.� <br />� ��Zv <br />�-ZZ-� L <br />. C <br />C��f— <br />Se�nrer Application and Permit <br />N0. 2409J DATE 10/lh/el <br />Service Address �'46 Earl Avenue <br />P.O. Box 114 <br />Billing Address - <br />Lverctt, Na. 98206 <br />City, State, Zip <br />Owner (Mortga <br />Biili�g Name_ <br />Connection Bv_ <br />llavid 2. Brovn <br />David P. Akt17[R8 Srown <br />Sama <br />Phone 653-1369 <br />DESCRIPTION: <br />Lot _ 4 Block 6 <br />Plat Friday' s 2nd <br />Unplatted Description <br />Type Permit: New Connaction <br />Utility Account No. <br />Permit Fee �0.00 <br />Connection Chargels)_ <br />Total Fee 30.OQ <br />Ordinance # 669-81 <br />Trea �1 <br />221.00 <br />Signed - - <br />Customer <br />SEESKETCH ATTACHED <br />�� � INSr GCTION <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 />6.50 <br />Northund <br />A roved B R.A. Theal I <br />PP Y <br />Ciiy Enginccr � <br />Issued By E. Hond <br />` Q . <br />Inspection By , <br />Date I nspected 1 � ^� � � <br />No. 240°3 ' <br />0 <br />--, <br />