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CHART NO. G �l'�9-S <br /> .everftl' <br /> � I <br /> -� _2� -g 1 <br /> City of Everett � <br /> Sewer Application anc� Permit ; <br /> � No. 23909 DATE Hbrear� 20 19E1 <br /> Service Address ��0� Terrae� Dri�� Utility Account No. <br /> 1007 I�tA Eat! permitFee �0.00 <br /> Billing Address <br /> b�altl�, M�. 98112 �nnection Chargels) <br /> i City,State, Zip <br /> C. D. I1111• �0.00 <br /> Owner (Mortgagor) Total Fee <br /> �a�� OrAlane• �669^d0 <br /> 8illing Name �22.00 <br /> sa�� <br /> Connection By - "v <br /> Signed � � �� '-.- -"c—'- <br /> Address c�:�on,e� <br /> Phone 333-21�! <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service Ntt�r�d <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk — <br /> Type Permit: Nav Conn�etl:,n <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W rorth�nd it. <br /> 8. Boush�p <br /> Approved By <br /> CitV Engineer <br /> 8. Bond <br /> Issued By <br /> � <br /> � <br /> i <br /> Inspection By � � <br /> Date I nspected �.� APR/L � � i <br /> SEE SKETCH ATTACHED N0. 23909 I <br /> � <br /> INSPECTION � <br /> �_ <br />