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� <br />� <br />s <br />' ever�tt <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 245G8 <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor�_ <br />Billing Name <br />Connection By_ <br />Address <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descripi <br />T�...., Oo......• _ <br />DATE <br />1924 Virginia <br />City of Everett <br />Block <br />June 20, 1983 <br />CHART N0. � <br />I � <br />� <br />o � O r.-. <br />o U , � <br />w y <br />O � 1 x <br />� G. '3 <br />O � �r � <br />V'1 � _ ' <br />fl _� N <br />V �� <br />a � <br />0 <br />M <br />� <br />Utility Account No. <br />Permit Fee None <br />Connection Charge(s) <br />Total Fee None <br />Signed Don Miller <br />SEESKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Tru n k <br />Lateral_ _ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By A. R. Theal <br />City Enginrer <br />E. Bond <br />Issued Bv <br />� • <br />Inspection By���l �%%a��,�7'7�_ <br />Date Inspected_ �" 7 2— �j' <br />No. 24568 <br />��CUSTO",1[R COPy �osf�D �c <br />0 <br />