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^ .i <br />CHART N0. <br />everett � <br />��L <br />e 3_zs_gZ � <br />City of Everett " I <br />I <br />Sewer Application and Perm�t <br />I <br />No. 24201 DATE Harch a, i9oz ' <br />331t� Rockefeller �__ ! Utility Account No. <br />Service Address -- i <br />Pennit Fee none _ <br />Billing Address � <br />City, State, Zip Connection Charge(s) <br />I Total Fee nO°Q I <br />' Owner (Mortgagor) <br />, <br />� Billing Name_ <br />� <br />City of Sverett <br />�i Connection By ' <br />Signed Don Miller <br />Address c��.,o�„�� , <br />Phone—_ <br />iDESCRIPTION: Sewer District -- 'I <br />�ui ��OC!'.__ <br />Nionthiy Sewer Service � <br />i <br />Plat �i <br />Unplatted Description _ Month�y Sewer Constr. <br />� Trunk <br />; Type PermiL Repairs <br />i Lateral <br />� <br />� Remarkr. _ <br />I <br />I i/; ../,.. <br />I �i - � , <br />Abutting Lot l.ine <br />,, <br />N S � W ft. <br />SEE SKETCH ATTACHED <br />INtii'l 1:11(tU <br />e <br />Approved By A• R• TAeal __ I <br />C�ry Engincet <br />�. Pond <br />Issued By <br />Inspection Dy--_' <br />Date Inspected ' " " <br />No. 24201 <br />