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. everett <br />: � <br />;; City of Everett <br />� Sewer A�pli�at�on and Per►�nit <br />� <br />No. 2487 3 DATE �une>> , 1984 <br />,� — �- _ � Y — > <br />HART NO. <br />�,.`!. i f �P �j `/ <br />� 9R13 Vic i�- �—�* ,Utility Account No. <br />� Service Address Nnn�__ <br />Permit Fee <br />' Billing Address <br />`; Connection Chargels) <br />' City, State, Zip — <br />Total Fee N�n�— <br />" pwner (Mortgagor)__-- <br />t <br />t <br />Billing Name <br />}itv nF G att <br />Connection By <br />s Address <br />� phone <br />., <br />DESCRIPTION: <br />Lot <br />Plat <br />�. Unplatted Desci <br />Block----- <br />Signed_ nnn htillar <br />cu:mmer <br />Sewer Uistncc <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />butting Lot Line <br />N, S, E, W <br />�pproved BY_ A1 Theal <br />Ciry Engmeer <br />_.% <br />ssued BY Sue Granna�� -- <br />. , <br />� � i� LZ <br />inspection By <br />Date Inspected � �'� - �� �— <br />No. �4873 <br />CUSTOMER COPY _, ___ , . <br />. .. , , .:�, , _ . . .� . ,-.. .. .....� .... . . . <br />`�.—_.�., .. . . . . . <br />� <br />