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0 <br />everett <br />e <br />City of Everett <br />Sewer Application and <br />No. 24036 <br />Service <br />Billing Address <br />City, State, <br />DATE <br />�929 ltiq6 Sts�et <br />CHART NO. � ��" Z�" 5 <br />� <br />p .': <br />� ; ����--�/ <br />, � <br />Utility Account No._ <br />Permit Fee Mon� <br />Connection Charge(s) <br />M <br />Owner (Mortgagor) Total Fee OA� <br />Billing Name <br />Connection By CitY of t��r�tt <br />Dea Mill�s <br />Signed <br />cu:tomer <br />,,DESCRIPTION: Sewer District <br />Lot Biock Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk <br />Abutting Lot Line <br />N, S, E, W. <br />1►.It. Th��l <br />Approved By <br />Ciry EnBineer <br />8. 806d <br />Issued BY <br />Inspection By� �� �� ''J/'' `' , ` � <br />Date Inspected 7- 1-�' �� <br />No. 24036 <br />