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everett <br />e <br />City of Everett <br />Sewer Applicct�on and Permit <br />No. 23671 <br />DATE 1/26/B1 <br />ServiceAddress �702 Crand <br />Billing Address 1206 C�lifornia <br />City, State, Zip s��=�tt, ka. 98201 <br />Owner (Mortgagor) Z��rett e�rald <br />Billing Name 8a�� <br />Cannection By M�vland Coa�tzuction <br />259-9191 <br />DESCRIPTION: <br />Lot �1'�= Block 6Y1 <br />Plat __ B��r�tt <br />Un�,latted Description • <br />Type Permit: C�p-off <br />CHART N0._T 19-29 -5' <br />Utility Account No._ <br />Permit Fee 2 • 50 <br />Connection Charge�s). <br />Total Fee 2 • 50 <br />Signed <br />Customer <br />SEi; SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Se�vice <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N,S,E,Ih' <br />Approved By ii. Souahep <br />City Engineer <br />8. 8 nd <br />Issued By <br />Inspectian By <br />�ate Inspected <br />No. 23871 <br />