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a <br />CHART N <br />everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />rvo. 24010 DATE June ii, 19s1 <br />4J,/a�,�,� v-cuv � <br />2704 �Ort� Utility Account No. <br />Service Address — <br />19002 d6th N.E. 2.50 <br />' Billing Address Permit Fee _ <br />ilothell, Sia. C�nnection Cliargels) <br />Ci[y, State, Zip 2, 50 <br />� Luqene Ogden Total Fee — <br />� Owner (Mortgagor) <br />Billing Name <br />Bugene Oqdeu <br />Connection By <br />� Address_ Signed <br />I' Phone 48G-lllb <br />I <br />Customcr <br />I DESCRIPTION: Sewer District___ <br />Lot 7.8-30 620 <br />Block Monthly Sewer Service. <br />� Plat �Verett <br />IUnplatted Description _-- Monthly Se+ver Constr. <br />T....o Pormit• CBp�OPP <br />SEE SKETCH ATTACHEU <br />�h!SPkCTIOh! <br />Trunk <br />Lateral <br />Abutting Lot line <br />N, S, E, W_ <br />T. F:. Theal <br />A�)p�OVed BY Ciry Engmcer <br />�. ➢ond <br />Issued BY - <br />Inspection B <br />Date Insoect <br />rvo. 24Q10 <br />