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r <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />Q,z��Bz <br />`, <br />CHART NO. LD ' <br />i"OSTv:-� � °- � <br />� <br />y-zg -g�- o � r � <br />� lL <br />o � x � <br />o �% <br />o d' �-� r. <br />V� -J '�— N <br />G - <br />� }, <br />� <br />rvo. 24262 DATE � <br />Service Address 9Z6 Wetmore Utility Account No. <br />6illing Address. <br />Permit Fee None <br />City, State, Zip Connection Chargels) <br />None <br />Owner (Mortgagor) Total Fee__ <br />Billing Name <br />Connection By City of Everett <br />Don Miller <br />Address Signed <br />a�s�„�„�„ <br />Phone -- <br />DESCRIPTION: Sewer District_ — <br />Lot Block <br />Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Type Permit: repair <br />Remarks: <br />�' 4 .' ,. i JI <br />��.L!. THE CI�Tv [�:GI;'EERIt!G CO�:�TFUCTION <br />oivisiur3 ���,y.��a�i; �ni ,::: ,.... , •,�� <br />�,.,-,��:9�•����_ .��v r,Y��E�: <br />rnNSTRUCT;UN OfJ PUBLIC RIGHT � UF � YN,Y <br />SEE SKETCH ATTACHED <br />�.li�i0"GiZ CQr''r <br />La[eral _ <br />Ab.ittiny Lot Line <br />N� S� E, W--- <br />Approved <br />Issued By <br />A. R. Theal <br />Cuy Enginccr <br />E. Bond <br />i� <br />� <br />Inspection By�L���=�'��J <br />Date Inspected �'–y-+' –��' <br />vo. 24262 <br />�� <br />