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everett <br />� <br />City of Everett <br />Sew�r qpp�i�ation and Permit <br />No. 23587 <br />Service <br />Billing Address <br />City, State, Zip <br />Owner (�ryortgagor) <br />Billing Nsme_ <br />Connection <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat �_ <br />Unplatted Descn <br />a�sa�so <br />DATE <br />2809 22nd Street <br />City ot �r&tt <br />Block_�_ <br />TYpe Permit: renair <br />ICHART NQ C� '�,', -_' `� _ � <br />�"�'tY Account No._ <br />Permit Fee none <br />Connectio;; Charge(s) <br />Total Fee none <br />Signed_ r'On rliller <br />Q61oInL'r <br />SEESK[TCH ATTACHED <br />�r+;i'ecncr, <br />Sewer District <br />Monthly Sevver Service <br />Monthly Sewer Constr. <br />F.butting Lot Line <br />N, S, E, W_ <br />5-�-30 <br />4pproved By �'' �'�a=ren <br />Ciry Engineer �' <br />E. Bond <br />ssued Bv <br />ispection <br />ate Insoe� <br />„� <br />—�— <br />'/. ._ � -'�; <br />;� , <br />No. 23587 <br />