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� <br />everett <br />e <br />City of Everett <br />Sewer Applicatioc� and Permit <br />NO. 24045 DATE 8/S/81 <br />7410 NCDonqal <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By City of E��rett <br />DESCRIPTION: <br />Plat <br />Unplatted Descri <br />CHART NO. �- 8'!�-S <br />Utility Account No. <br />Permit Fee pO�• <br />Connection Charge�s) <br />none <br />Total Fee <br />Don liillar <br />Signed <br />Customer <br />Sewer District <br />Block _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Type Permit: rep�ir <br />SEE SKETCFt ATTACHED <br />INSPECTION <br />Abutting Lot Line <br />N, S, E, W. <br />A. R. Theal <br />Approved By <br />City Engineer <br />s. Bond <br />Issued Bv - <br />.� ,/' JIl -//����-� <br />inspection By <br />C I �L�9. �_FJ. \ i <br />Date Inspected '�- -� - � � <br />No. 24045 <br />