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W <br />CHART N <br />City of Everett <br />Sewer Application and Permit <br />N0. 24807 DATE <br />Service <br />Billing <br />City, SI <br />Owner <br />Billing I <br />Connection <br />Phone__ .2 SaZ /9a 3 <br />asp -a _ <br />DESCRIPTION: <br />Lot 30 lork�6� <br />Unplatted Description <br />Type Permit: <br />Utility Account No._ <br />Permit Fee_L _ <br />Connection Charge(s) <br />r <br />Total Fee by / <br />Signed <br />cuuomr' <br />Sewer District <br />Monthly Sewer Service_ <br />_ Monthly Sewer Constr. <br />Trunk <br />Remarks: <br />T� .t <br />— I <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lateral <br />Abutting Lot Line <br />N, S, L, W <br />Approved By'q- 4'/�- <br />City Engm <br />Issued By �f- <br />nspection By <br />)ate Inspected j -,F <br />NO. 24807 <br />