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evere„ <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24837 <br />Service Address� <br />Billing Address <br />C�ty, State, Zip <br />Owner (Mortgagor) <br />Billing Name.�_ <br />Connection By <br />DATE �, t1 �5� ]�h <br />Address ��� <br />s <br />Phone <br />DESCRIPTIO�: <br />Lot 1 ?�_— Block n� <br />Plat � ft--q�Aq--t-0 Everett <br />Unplatted Description <br />CHART <br />Utility Account No. <br />2.50 <br />Permit Fee <br />Connection Charge�s) <br />2.50 � <br />Total Fee <br />� <br />Signed <br />Cuslomcr <br />Sewer District <br />Montlily Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />ineer <br />issued By 4�o h'annan _ ' <br />inspection By <br />Datelnspected <br />NO. 248?7 <br />i <br />0 <br />H 1— <br />y �. <br />�, .. <br />� �: <br />�� <br />r <br />� '-. <br />� �" <br />� <br />R <br />� <br />fy.. �. <br />K[: <br />O' <br />� `: <br />r� <br />�: <br />. � <br />� <br />