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eyeren <br />e <br />Ciry of Everett <br />Sewer Application vnd P�rmit <br />No. 23300 <br />Service Addres� <br />Billing Addres� <br />City, State, 7_ip <br />Owner (Mortga� <br />Billing Name_ <br />Connection By_ <br />Address <br />DESCRIPTION: <br />Lot _ <br />Plat <br />Unplatted Descr <br />Type Permit: <br />DATE _9�13/79 <br />F312 Gran:i <br />City of L'marott <br />CHART <br />Utility Account No. <br />Permit Fee <br />nonc <br />Connection Charge( <br />nane <br />Total Fee <br />i�oa "illcr <br />Signe '-- <br />Sewer District <br />Block <br />Monthly Sewer Service_____ <br />Monthly Sewer Constr. <br />air Trunk <br />SEE SKETCH nTTqCHED <br />Abutting Lot Line <br />N' S' E' �'v --- <br />i:. .�arrc.r <br />Approvecl By <br />Ci�y En9inecr <br />i�. S'ORc�. <br />�SSLICC� [i)'______ ._'_'_ <br />_`t. <br />Inspection By ' . / � , � � /;1_ _ <br />Date Inspected %- %=� 7 �� <br />���. 2330� <br />