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everett <br />� <br />City of Everett <br />I ' <br />;i:� I <br />Sewer �pplication and Permit <br />N0. Z4QZO DATE � '," ' / <br />, _a.r�..: i' ,,� ,-.,_ ��_ <br />Service Address - <br />. i,.,--.�. �. -_-.� �_� <br />8illing Address <br />City. State, Zip_ �_i L/�, ; i.'. � ' <br />Owner (Mortgagor) ` <br />Billing Name �` <br />Cunnection By <br />_ . � .� <br />� „ ., -- <br />Address'^- •�r <br />.i_�,. ,��1� <br />�_, . .. <br />,t ! .- <br />DESCRIPTION: <br />, Lat�---- Block <br />� Plat . _ . <br />Unplatted Description_ �----- <br />;, i 'l — <br />CHART N0. � "' - ? `' -c� — <br />,. I �_ .., <br />Utility' 4ccount Ne. <br />Permit Fee <br />Connection Charge(s) <br />Total Fee " <br />�ps:�sD <br />+ ,��1� <br />Signed Cusmmcr ' <br />Sewer Uistncc <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lot Line <br />I, S, E, W <br />d BY " _ <br />Ciry E�g�^ecr <br />on By� 2 _ <br />;pected � <br />No. 24020 <br />