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eve�etl <br />� / �. <br />' i. <br />City ot Everett <br />Sewer Application an Permit <br />No. 23623 <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagcr) <br />6�ie�, <br />DATE _ <br />2111 tterrison <br />Bilting Name <br />Co�nection By City of L•verett <br />Address <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Desc• <br />V Type Permit <br />CHART N0. � 21 — 2�1 ' S <br />; <br />Utility Account No. <br />Permit Fee �a <br />Connection Charge� <br />�� <br />Total Fee <br />U;n Mill�er <br />Siyned __ <br />Sewer District <br />Block <br />Monthly Sewer Service <br />Monthly 5ewer Constr. <br />ropair <br />SEESKETCH ATTACHED <br />INSPECTIGN <br />Lateral <br />Abutting Lot Lin^ <br />N, S, E, W <br />II. 57arren <br />Approved By <br />City Engincer <br />�. Bond <br />Issued Bv <br />Inspection By <br />�� �r- '� %/�,t.c•-� <br />� O� <br />Datelnspected l: - ' � ' � <br />No. 23623 <br />ft. <br />