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evereri <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24839 <br />2119 <br />DATE <br />5�1�84 <br />:HART NO. �� <br />I t— <br />�, _ � <br />r .- �, __ <br />;. <br />. � U l,' J- CJ <br />, . p �.,i ♦ i .- <br />� -. : <br />,� � <br />� � U��.:,- ' I <br />i � <br />� <br />:� : <br />z � -� !" �✓� • <br />Service Address �— µ Utility Account No._ <br />None <br />Billing Address Permit Fee <br />City, State, Zip Connection Charge(s)_ <br />None <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />City of Everett <br />Connection By <br />Signed �O1 �ller <br />Customcr <br />DESCRIPTION: Sewer Distnct <br />Lot Block Monthly Sewer Service. <br />Plat <br />Unplatted Description _ Monthly Sewer Constr. <br />Type Permit: <br />RemarKs: <br />e <br />C <br />r�l1s, ,', <br />PE� N�E i n::�, <br />- < <1•r, i n• <br />. . .� . . .: Vr�.'.TN� <br />..., <br />---;, .—•--� •, -�, <br />' �� :.ir,H�-(� <br />SEE SKETCH ATTACHED <br />g Lot Line <br />N,S,E,W <br />Approved By A• R. Theal <br />Ciry Engineer <br />�;ry E. Bond <br />t Issued By <br />WA� <br />CUSTOMER COPY <br />Inspection By���� .'��� ��"���� <br />Date I nspected '� ' � 1� `" �`f' <br />�+o. 24839 <br />