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everen . <br />e <br />City of Everett <br />Enyineering & Community Services <br />Sewer Application and Permi� <br />N0. Z2469 . : : DATE ��^�— %� <br />Service Address_Ip�� , Uiility Account <br />Billing Address v � --�- Permit Fee .�-:-= � <br />Cit State, Zi � r— <br />y, p����. 9Paa3 Connection Charge(s) <br />Owner <br />Billing <br />Connec <br />Acitli <br />Total Fee <br />' '� � �..,r.1 � / <br />Phone <br />DESCRIPTION: Sewer District '�� Cc?�� � <br />Lot � E31ock <br />Plat S}� /v20 .? /5/— 7� Monthly Sewer Service �.�.��� <br />Unplatted Description Monthly Sewer Constr. <br />SEESKETCH ATTACHED <br />Trunk � - � � <br />Lateral o�. / D <br />Abutting Lot Line <br />N, S, E, W. <br />� � <br />,4pproved�(� - <br />�City Enginecr <br />Issued Bp. C�j.=� <br />Inspection <br />Date Inspected <br />CUSTOMER COPY <br />No. 22469 <br />