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� CHART NO. <br /> everett <br /> � <br /> City of Everett � <br /> Sewer Application and Permit <br /> NQ. 24947 °`°°°'� '. 1'°` <br /> DATr� <br /> 7{l� ll�attrr ltay 76A2�-•1 <br /> Service Address __ Utility Account No._ <br /> Billing Address 19� �� 8�~� i'ermit Fee 30'� <br /> Sws'�tt. 17a. 9l203 770.00 <br /> City, State, Zip Connection Chargels)__ _ <br /> Owner (Mortgagor)��uU � Total Fee 3J.� <br /> Sw�r p[dinance 98�-83 800.00 <br /> Billing Name __ <br /> Connection By <br /> Address Signed � � <br /> Cusromer <br /> Phone_ 7�7-1332 <br /> Eond II <br /> DESCRIPTION: Sewer District <br /> Lot � Block = 6.50 <br /> Plat �1� ��t Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> 270.00 <br /> Trunk <br /> Type Permit: � ��+��� <br /> Lateral <br /> Remarks: � n Y+ � <br /> �c-�-� - Abutting Lot Line <br /> N, S, E, W _ ft. <br /> 71. R. TFt�al <br /> Approved By <br /> Ciry Engineer <br /> E. Pond <br /> Issued By <br /> Inspection By'��� ��� ���� <br /> Date I nspected � - ��� � V J • <br /> SEE SKETCH ATTACHED N�• 24947 \ <br /> INSPECTION <br />