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C" <br />everett <br />e <br />Citv of Everett <br />Sewer I�►pplication and Permit <br />I No. 24221 DATE _ <br />2601 Rainier <br />IService AdJress — <br />Billing Address <br />� City, State, Zip — <br />pwner lMortgagor) <br />Billing Name <br />City of �vereett <br />Connection By — <br />Address_ <br />Phone <br />DESCRIPTION: <br />� Loi Block <br />I Plat <br />� Unplatted Description <br />IType Permit: �epair <br />� <br />1 I Remarks: <br />� i, t: i I <i <br />I / ; <br />, <br />�" _ � � � � �. <br />3/lfl/fl2 <br />CHART N0. <br />�C7 S �ll� <br />3- ZS � <br />Utility Account No. <br />Hona <br />Permit Fee — <br />Connection Chargels) <br />None <br />Total Fee <br />non :iiller I <br />Signed Customer <br />i <br />I <br />Sewer District_ <br />Monthly Sewer Servicc — I <br />_ Monthly Sewer Constr. 1'� <br />— Trunk <br />_--- <br />1 �-'"" -= <br />;� ., . �-,,. <br />SEE SKETCH ATTACHED <br />�NSPEC1l0�� <br />Abutting Lot Line <br />N, S, E, W <br />i <br />il <br />*_ R. Theal <br />qpproved BY � <br />Ciry En9incer i <br />L' . Bond � <br />i <br />Issued BY - �, <br />Inspection B <br />Date Inspect <br />�-- <br />No. 24221 <br />