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� <br />everen <br />e <br />City of Everett <br />Sewer Application cnd Permit <br />CHART NO. A 3i"29'S <br />No. 23933 DATE March 16, 19Y1 I <br />/208 Ruck�s <br />Service Address Utility Account No. <br />Billing Address Permit Fee pon� <br />City, State, Zip Connection Charge(s) <br />non� <br />Uwner �Mortgagor) Total Fee <br />Billing Name <br />Connection Bv— City o! 8varatt <br />Signed Don Mill�r <br />Customer <br />Phone <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Type Permit: n�paiz <br />SEE SKETCH ATTACHF.D <br />INSP[CTICN <br />Sewer District <br />Monthly Sewer Service. <br />Monthiy Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved <br />Issued <br />T.r�, Theal <br />Gty Engineer <br />E. Bond <br />�� <br />Inspection By��.��_% r//'�^''�/ <br />CJ <br />Date Inspected –� – / y - t'� <br />No. 23933 <br />� <br />