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everett <br />e <br />City of Everett <br />Sewer Application and P�rmit <br />No. 25035 <br />DATE <br />Service Address ao+� — ��� *--� � <br />Billing Address <br />City, State, Zip �•��o ��# qg�}} <br />Clwner (Mortgagor)�,�.+�� — <br />Billing Name yoy�� ��,� <br />Connection By__ ��o��--�ndwta#ea <br />Utility Aceount No. <br />Permit Fee an on <br />Connection Charge�s) <br />Total Fee_ <br />. <br />, , [.' <br />; <br />r <br />. ' .--�. <br />Add�ess ��ec _ �».��'_ ••—,z, „---�w Signed___ C�stom�r <br />Phone — <br />DESCRIPTIOiV: Sewer District *�.� '� '�-- ` �� <br />Lot _ Block_ Monthly Sewer Service <br />Piat <br />Unplatted Description_ ��* * d Monthly Sewer Constr. <br />T...... 0......i�• <br />SEE SKETCH ATTACHED <br />IFJ;�'EC?'ION <br />Lot Line <br />� �i`E�W � ,'�� t� ft. <br />i By A1 f .a �naai _ <br />Ciry Engineer <br />/ -�^ %.�i�i8J1 - _ - <br />� <br />�n By b <br />�ected_ �—l"`"iJ����� <br />No. 25039 <br />q <br />� <br />, <br />