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CHART <br />everett - - <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24998 � D�E 4� ��'� I <br />Service Address_..7 �D � �L'�"e� Utility Account No. � <br />� O/ <br />Billing Address �-r� � �� � Permit Fee <br />City, State, 7i � �' Connection Chargels) �.¢-- <br />P <br />9 7 2O �/ v <br />Owner (Mortgagor) Total Fee.�L—_ <br />Co <br />DESCRIPTION: <br />iigned <br />cu:�omer ... <br />1 <br />$fWCf <br />Lot Block Monthly Sewer Service -- <br />Plat <br />Unplatted Descripti <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />.:butting Lot Line <br />N, S, E, W_ <br />SEE SKETCH ATTACHED <br />INSPECTICIN <br />/\pproved By ���iG-� <br />Ciry Enginee <br />ISSUCd By <br />i' <br />_--��� / <br />o �� n'l�! <br />I nspectic�_ <br />Date lnspected �- '?�- � f! <br />No. 24998 <br />