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<br /> i. CHART NO.�
<br /> � everen T�,._' 1�
<br /> � ! �/'O S
<br /> ; e 6 _ ,s- � s�
<br /> � City of Everett ��
<br /> � Engineering & Community Services �
<br /> � Sewer Application cnd Permit
<br /> �
<br /> I ' DP.TE �f' 'f-�) 7 cC.": -------
<br /> � NO. l � ic: :J �
<br /> I
<br /> j� '� �'10�.� �IUE:I�«Lc_� ��-.v�-llcilityAccountNo.-----------
<br /> Service Address f.
<br /> ` Billing Address '�'���'��' I�� i)�:�U�L:IU �!.il r� Permit Fee__.—.-_=��1—�-1----------------' '
<br /> j City, State, Zip �-�%�—�-� TY—+ ����' c7� ZL -� Connaction Chan7e(s1__.--.--------•------ ---' ' ,
<br /> . ;..� C c�.• .
<br /> � Owner (Mortgagor) �-�-'�' T � U. �E��ZZI:-sc�' �u Total Fee_--------:._-------------- ------ -
<br /> Billing Name � c%1' T LU. �[.-1�:.�`c_,.�-J %, '
<br /> � � � ��� . f:✓aVG�'_!aC'k_ �..:k..���;!�.t. . � � �• _'' � � �,,;�.e_��.,
<br /> Conner,tion By ' s-/+ 9 :.
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<br /> r� U 7.�7 �v_� a �.-iw��:,� igned
<br /> Qd(�fBSS �'��1" � Ca�rom�.r
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<br /> Phone � �Cr-' - ��( L � --
<br /> OESCRIPTION: Sewer District___ ---------- -
<br /> E ��s� t! 4:�,�I — ---- — .
<br /> Lot° � �-Block Monthly Sewer Service
<br /> Plat �-),���...�-. L!��.: �
<br /> � Unplatted Description _ Monthly Sewer Constr.
<br /> Trunk_ .
<br /> TYPe Permit: �J��..0 C-c. r.-�v�.-; c ,�..
<br /> Laterai —
<br /> Remarks: . Abutting Lot Line
<br /> I"k— N, S, E, W —ft.
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<br /> � _I G;v En9incer
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