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evered <br />� <br />City of Everett <br />Sewer Apg�lecatioa� and P�rmit <br />No. 24741 DA7E _ Januarv 2G 1884 <br />r.��, , � <br />iS/Y _ <br />Service Address -���6� � <br />Billing Address_Sexin <br />City, State, Zip <br />CHART N0. '= - <br />Utility Account No. <br />Permit <br />Connection Chargel <br />Owner (Mortgagor) .(���f� ��� L . j.�. ��, ., � Total F <br />.. . <br />9illing Name_ ' <br />Connection By r c T r1_,m�hiny <br />Address 4'+1 - 180 h av �th i i <br />Phone �ev-snno <br />'os4-�d K <br />Signad_ � � � <br />Cusmmer <br />DESCRIPTION: <br />c Sewer District _ <br />Lot � ,,� i � �S Block <br />Plat ���' � -� �r ��� Monthly Sewer Service <br />Unplatted escription Monthly Sewe: Constr. <br />Tvne Permit <br />SEESKFTCH ATTACHED <br />INSPL"CTION <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By Al �Qa] <br />C��y Enqineer � <br />Issued By s. l:ranp±n <br />Inspection�y-r'� � ""����+�%� , <br />�ate Inspect2d /'��-�'�S� <br />-�-- <br />No. 24741 <br />'1 <br />1 <br />� <br />