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everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />��,.�e� <br />NO. 241Z3 DATE <br />2009 M�Inu! <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name -- <br />cicr or a..r.ce <br />Cannection By <br />DESCRIPTION: <br />Lot <br />Plat <br />U �platted Descr <br />CHART <br />�" _�,�, `, � <br />i;-�;—�� <br />,., �. <br />��—y" � <br />Utility Account No. <br />Permit Fee Non• <br />Connection Chargels) <br />Nena . <br />Total Fee <br />Eill 0atharay <br />Signed <br />Customer <br />Sewer District <br />Block Mnnthly Sewer Service. <br />Manthly Sewer Constr. <br />Tvoe Permit: RlPa1r <br />SEESKETCH ATTACHED <br />Laterel <br />Abutting Lot Line <br />�. � N, S, E, W. <br />J ':f. <br />A. R. Theal <br />Approved By <br />City E�B�neer <br />E. Bond <br />I,.ued BY <br />Inspection By �J ` � � � ��`T , • r� <br />Date I nspected '�' " y " 1 � — <br />No. 24123 <br />� <br />1 <br />d <br />