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everell <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24974 DATE <br />2718 21st Street <br />Service Address <br />Billing Address, <br />City, State, Zip <br />Owner (Mortga <br />Billing Name_ <br />Connection By. <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />City of Everett <br />E <br />TvDe Permit: Repair <br />11/8/84 <br />CHART NO. <br />r <br />" c <br />a <br />�1 d <br />A.5 S <br />Utility Account No. <br />None <br />Permit Fee <br />Connection Chargelsl_ <br />None <br />Total Fee -- <br />Don hiller <br />Signed <br />Customer <br />Remarks <br />T <br />1/ � <br />t Eye �Kircu <br />C.akr.ur:r•,Y:c.Ls <br />.s ' <br />s? <br />.n zT , 021 62< a <br />i <br />DrVIS,_, <br />! <br />, •FtE D , <br />—/ <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />CUSTOMER COPY <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By A.R. Theal <br />City Engmeer <br />E. Bond <br />Issued By <br />Inspection By�9//aLu —. <br />Date Inspected <br />No. 24974 <br />u <br />V] <br />