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�everett <br />� <br />City of Everett <br />Sewer Application and Permi� <br />r�o. 25009 DATE ��,� a �i� � <br />Service Address �.�0� % C4�p,��� Utility Account No.���s%- 8 <br />Billing Address �_1OT � � ��-� Permit Fee_ .�(i � <br />� -� 7� 9f�o?o� ' �_ <br />City, State, Zip ..r�i � �4 Connection Charge�s)_ ��o % <br />i %// � ,_ <br />Owner (Mortgagor) �' G�'.��oz��� Total Fee .�Ji� <br />Billing Name � (/y -('j,�cm,-«-� �?�/ � �3 <br />� <br />,�DoJ <br />Connection Bv— <br />Signed <br />Phone 3-�.3 — Di 33 <br />QESCRIPTION: !�/.r,ce/ �� <br />Sewer District <br />Lot Block /J <br />Plat Monthly Sewer Service �7�i'�/-� __ <br />llnp�atted Descriptionl�'�$-6S <br />Monh ly Sewer Constr. <br />Type Permit: <br />Remarks: <br />SEESKETCH ATTACHED <br />���;��:�.�;� . <br />Latera <br />Abutting Lot Line <br />N. S,QF, W_ 100 ft. � <br />�� /� � <br />Approved By�/ — �%( . .tL� <br />�ny Engineet <br />�SSIIC(� By�z � "!� <br />C <br />Inspection By � � _ <br />�atelnspected l - Z ��`� <br />No. 25Q09 <br />