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� <br />� <br />1 <br />everetl <br />� <br />City ot Everett <br />L <br />Sewer Application and Permit <br />rvo. 245G6 DATE June ts, 1983 <br />Se:vice Address 3927 WETMORE <br />Biiling Address_ <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By f.it� nf Fvrrett — <br />Phone <br />DESCRIPTIOPJ: <br />Lot <br />P�dt <br />Unplatted Descr <br />Utility Account Na._ <br />Permit Fee _ Nnne <br />Connection Charge�s)_ <br />Total Fee Nnna <br />Signed Don Mi11er <br />Customer <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Abutting Lot Line <br />N,S,E,W, <br />Approved By A1 Theal <br />Cny Engineer <br />Issued By Sue Grannan <br />Inspection By �-�-e�1���A-.�n.*-�— <br />Date Inspected �e — /.S -�.5 <br />rvo. 24565 <br />�USTG'1[R CO?Y �OSfE� �CJ / <br />� <br />� <br />�� <br />