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GHART N0. � ��'%Q�s <br /> everett I <br /> e � <br /> ����r� .s-,5-�r �� <br /> City of Everert � j <br /> Sewer ApplicQtion and Permit '' <br /> � <br /> No. 23963 DATE 4�16/el <br /> �006 Victor Place Utility Account No. <br /> Service Address <br /> Billing Address <br /> Permit Fee none <br /> City, State, 2ip Connection Charge�s)_ <br /> none <br /> pwner (Mortgagor) Total Fee <br /> I <br /> Billing Name <br /> City of Sverett I <br /> Cannection By — � <br /> Don Miller . <br /> Address Signed c s om �I <br /> Phone .—. — <br /> DESCRIPTION: Sewe� pistrict <br /> Lot _ Blor,k_ Monthly Sewer Service <br /> � Plat i <br /> � Unplatted Description Monthly Sewer Constr. <br /> Trunk I <br /> � Type F.rmit: rapair Lateral <br /> Remarks: ' Abutting Lot Line <br /> — - _ .. N S E W ft. <br /> f A G <br /> � i <br /> ( J �-' '//� r� /r i/� j � <br /> — � .f . L. /< �+ � <br /> ..� - - / — -- A. P.. Theal <br /> PP oved RY -- , <br /> - Ciry Enqmcer <br /> E. �ond � <br /> ( _ Issued By <br /> — Inspection By !" '�� %�'' ;""� ��� <br /> Date Inspected_ � 1 ' � <br /> SEE SKETCH ATTACHED N�• ,2�96� I�� <br /> RJ;�PF C llCilv �� <br /> � <br />