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CHART N <br />everett <br />e <br />City of Everett <br />� Sewer Application and Permit <br />NO. 24G82 DATE 5�76/[32 <br />Service Address 1706 Virqinia Utility Account No._ <br />Billing Address <br />Permit Fee None <br />City, State, Zip Connection Chargels)_ <br />Owner (Mortgagor� Total Fee None <br />Billing Name <br />Cannection By City of F.veratt <br />Address Sipn <br />Phone <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description_ <br />Don Mi11er <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEESKETCH ATTACHED <br />B1�11��[�il <br />Lateral_ <br />Abuttiny Lot Line <br />� N, S, E, W. <br />t. <br />Approved By �'• R. Thoal <br />City Enginccr '., <br />Issued Bv �• �'ond <br />InspectionBy '�'-���% �J�''' ` ` " <br />Date Inspected ~ � � � ' � li <br />No. 24282 <br />