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CHART NO. U 11 Zq S <br />everett <br />,,e <br />City of Everett <br />Sewer Application and Permit <br />No. 23595 <br />Service Address_ <br />Billing Address_. <br />City, State, Zip_ <br />DATE <br />1610 Virginia <br />Utility Account No. _ <br />Permit Fee none <br />Connection Charge( <br />Owner (Mortgagor) Total Fee_ <br />Billing Name <br />Connection By City of Everett <br />VIV <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Block <br />Tvoe Permit: repair <br />Remarks: <br />1 r` <br />/�. �• <br />SEE :;KETCH ATTACHED <br />Signed Don Miller <br />Customer <br />Sewer District <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Tru <br />Abutting Lot Line <br />N, S, E, W <br />H. Warren <br />Approved By <br />City Engineer <br />E. Bona <br />Issued <br />Inspection By '0"' d J" r <br />e. ill — <br />Date Inspected <br />NO. 3595 <br />INSPECTION <br />