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r- <br />I <br />Ll <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO- 2.4585 <br />C ATE—10_y5i. 19,13 <br />Service Address-2G31_RacW'71-W'--- <br />Billing Address — — - <br />City, Staite, Zip ---- <br />Owner (Mortgagor)_A 1 _ A=tImna/ he f 1k� <br />Billing Name <br />Connect on By <br />Phone 259L-�043--- <br />DESCRIPTION: <br />Lot II J14,15 _ Block 610 _- <br />Plat —1,trrrtt - <br />Unplatred Description <br />Tvnn Pa.rmit' _ _ <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee <br />Connection Charge( <br />Total Fee__ <br />Signed <br />Customer <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, VV ____ <br />Approved By_Gj jhgAl - <br />C,ty Erymeer <br />Issued By SuzanneSYannan <br />Inspection B-----4=%"� <br />Date I nspecterl7` " 'r- 8 <br />No. 24585 <br />