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�.. <br />�, <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. Z4181, DATE 2/19/82 <br />1Et23 Rainicsr 1►vanue <br />CHART N0. -� ' - <br />° s_gZ <br />l/� <br />Service Address Utility Account No. I <br />Nona I <br />Billing Address Permit Fee <br />i <br />City, State, Zip Connection Chargels) I <br />NonQ <br />Owner (Mortgagor) Total Fee <br />Billing Name � <br />City of Evezett I <br />Connection By_ <br />Don Miller , <br />Address Signed <br />C slomer <br />DESCRIPTION: <br />Lot Block — <br />Plat <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />INSPECTiON <br />u I <br />Sewer District II <br />Monthly Sewcr Service. <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N,S,E,W <br />A. R. Theal � <br />Approved Ey � <br />Ciry Enginccr <br />F:. Dond , <br />Issued By i <br />Inspection By— <br />Date Inspected= <br />No. 24181 <br />� <br />I <br />