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r <br />L <br />� <br />r <br />1 <br />CHART N0. S 3 D. '?q- � <br />everetl <br />e <br />City of Everett <br />Sewer Appiication and Permit <br />N0. 24631 DATE <br />9/�q1�.� ��.� .a ��-»_ � <br />�g- Q � /�,�� '� Utility Account No. �_ <br />Service Address ,n <br />Permit Fee_ T <br />Billing Address -- <br />City, Siate, Zip � <br />� •Q � �, <br />� Owner IMortga9orl.c.� '�' '"'` <br />Connection Charge(sl <br />/� �� <br />Total Fee <br />Bflhng Ivame � . <br />Connection By / <br />��GX���J <br />, _/�j � / /�S/( ���.�' %��OhSigned Cus�omer <br />Address "' ' °C <br />Phone___7�� �� 3� <br />Sewer District <br />DESCRIPTION: <br />Lot B <br />Plat <br />Unulatted Description_ <br />Monthly Sewer <br />Mon[hly Sewer Constr. <br />L _ <br />SEtSKETCH ATTACHED <br />INSPECTION <br />Tru <br />abuttiny Lot Line <br />N, S, E, W <br />Approved By � �� ` ' "'� — <br />Gtv Engmeer <br />f� / <br />Issued eY �.� � <br />� I <br />� �' � � � "� L� � �- '� <br />Inspection B� I <br />Date Inspected �� ��� �� <br />No. 24631 <br />I <br />y i <br />f�l <br />� <br />J <br />J <br />`� <br />