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evereri <br />e <br />City of Everett <br />Sewer Application and Permit <br />D�casber 28, 1981 <br />NO. 24134 DATE <br />212• ltRlai�s <br />Service Address <br />Billing Address <br />City, State, Zip <br />pwner (Mortgagor) <br />Billing Name <br />CitY of s�sr�tt <br />Connection By <br />CHART N0. 1= ' � - >c, _ �— <br />o��.�� <br />i�Z � <br />Utility Account No. <br />AOI�� <br />Permit Fee <br />Connection Charge(s) <br />ooa� <br />Total Fee <br />Doa Mill�r <br />Signed c�:�omer <br />Sewer Distnct <br />DESCRIPTION: <br />Lot�-- Block — Monthly Sewer Service. <br />Plat Monthly Sewer Constr. <br />Unplatted Description <br />TYPe Permit: r�paiz <br />.__-- <br />Remarks: "`) ,� , , .- `� <br />%,�;; �i �. 1 � . <br />.�.,. Z �^Y S�"• <br />�� S. 9�, �n 'j� /� "" � , ���r � Abutting Lot Line <br />'i/i�ii h/ f'Y � i�'. .///I.II N, S� E, NJ, <br />SEE SKETCH ATTACHED <br />�.. <br />A. R. Th�al <br />AppfOV@Cl BY Ciry Engineer <br />B. SOOd <br />Issued BY_�— <br />�Inspection By �'' ` f � �> / �� � � <br />n..:., ins ected /!' ' �-c�—��/ <br />--��..._ p <br />rvo. 24134 <br />INSPECTION <br />I� <br />Y <br />; <br />� <br />�" <br />