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everett <br />e <br />City of Everett <br />� Sewer Application and Permit <br />N0. Z366H DATE 7/21/00 <br />606 Wetnare <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />' Billing Name <br />City oE svarett <br />Connection By __ <br />Address <br />Phone_ <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />��F�� ic�..%t' �/" �f�ex_ ��i�/.-,. <br />C.lP'vnv,!� O v�. �0 7�(.CGL(J � �% <br />� �_ i0 �/t � NJ r'�m l�C./ <br />� <br />/ I T . " _ _ f �'1 / . / r"7 -e / . . <br />n �o <br />SEESKETCH ATTACHED <br />CHART N0. Z— 'l ' =`"t ' S <br />N <br />�d�� � -31-80 <br />� <br />Utility Accoun[ No._ <br />Permit Fee n�e <br />Connection Charge�s)_ <br />Total Fee none <br />Signed r'°n HillQr <br />Cuslomsr <br />Sewer Distric� <br />Morithly Sewer Service. <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />H. taarren <br />City Engineer <br />S, F. Rond <br />Issued By <br />INSPECTION <br />li pection By )'1 ��,!/��1 r"''`�r)--r� <br />Datelnspected 7 " Z 3 ` [Y� <br />rvo. 23668 <br />