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eevg�ett <br />City of Everett <br />CHART NO. `c7 201"2 9 -S <br />-ice=i� � W ► t� _� <br />Sewer Application and Permit <br />No. 23812 <br />2223 Pima <br />Service <br />DATE <br />l.o. sox 5044 <br />Billing Address <br />11/13/60 <br />City, State, ZipzVerotte Ka. 98206 <br />fordon Clayton <br />Owner (Mortgagor) <br />)•ordoa /laytoa <br />Billing Name <br />Connection By Ta r� 2 V a }I r G 1— <br />2S2-6300 <br />Utility Account No- <br />30.00 <br />Permit Fee <br />Connection Charge(s)_. <br />30.00 <br />Total Fee <br />Signed <br />Customer <br />DESCRIPTION: 12 Block 7!7 Sewer District <br />— <br />Lot 1 <br />Plat <br />Everett Land Cole lot Monthly Sewer Service. <br />Unplatted Description Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By B. Boushey <br />City Engineer <br />r. Bond <br />Issued <br />Inspection By L <br />Date Inspected (5 bQ <br />NO. 23812 <br />