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CHART N0. � Z9-�y--5 <br />eve►eK� <br />e <br />City of Everett <br />Sewer Appli�ation and Permit <br />N0. 24897 DATE s11L18 19R4 L— <br />Service Address �� u.tt c* = Utility Account No. <br />Billing Address_.�p¢j�.!3-$LFNL— <br />City, State, Zi <br />Perrnit Fee �,.6^ <br />Connection Charge( <br />pwner (Mortgagor) Total F <br />Billing Name <br />Co�nection By — <br />Address 7$$a cn�� ".Q-� """"'�i�� <br />Phone <br />DESCRIPTIO�: <br />Lot Block <br />_ ��� /, <br />Signed ' � " <br />' Cu omer <br />Sewer <br />ivionthly Sewer Service <br />Plat <br />Unplatted Description_�o^= Monthly Sewer Constr. <br />Bik 713 F,�:�rett Land Co's lst AAdn Trunk <br />r....., o.,....;.• <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By_ <br />c � �necr <br />Issued By <br />Inspection <br />�atelnspected <br />No. 2489T <br />