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evereri <br />� <br />City of Everett <br />CHART <br />Sewer Application and Permit <br />No. 24323 <br />I Service Address_ <br />V Billing Address <br />� City, State, Zip_ <br />iOwner (Mortgagor�_ <br />Billing Name _ <br />Connection By <br />� Address <br />Phone <br />DESCRIPTION: <br />Lot <br />�!, P�a{ <br />Unplatted Descriptio <br />; fyne Permit: R„ <br />DATE '��4�SZ _ <br />3007 21�t Street Utility Account No._ <br />Permit Fee none <br />Connection Cha.rgelsl— <br />Total Fee none <br />City of Everett <br />❑m: <br />I1Rcmarks: ,';' �,s, ,- <br />! , <br />' / <br />..:. ;, <br />. . � ., . ,. / if <br />. '_ <br />�. � i . c- <br />f! //;',i 7�--- <br />Don !'illaz <br />Signed _ <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abuttiny Lot line <br />' N, S, E, W__. <br />SEE SKETCH ATTACHEJ <br />J�; ;p L C T I(i?! <br />�pproved By A• �• Tbeal <br />City Engineer <br />$, $011(1 <br />ISSt1C(J Bv -- <br />Inspection B <br />Date Inspect <br />: %; � %i !�, , � f� l- <br />_ �. <br />- ., G- <br />No. 24323 <br />