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.�-�-- <br />everett <br />�_J <br />city of Everett <br />Sewer Application ar�d Permit <br />No. 23465 <br />Service Address <br />Billing Addre;s, <br />Ci[y, State, Zip <br />Owner (Mortga <br />Billing Name_ <br />Connection By. <br />DATE <br />2920 16th Street <br />City of Everatt <br />Phone — <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description. <br />I Tvoe Permit: renair <br />iriz�eo <br />CHART NO. f' �',• 7� �- ;� <br />Utility Acccunt No._ <br />Permit Fee none <br />Connection Chargels <br />nose <br />Total Fee <br />�oST��% ��2s�,�go <br />�J <br />Don :�aler <br />Signed <br />Cusiomrr <br />Sewer District__ <br />Monthly Sewer Service, <br />Monthiy Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />SEE SKEI�CH ATTACHED <br />iN,;i'i_i� f;;.-;I; <br />i � , l�larr. e: � <br />Approved By <br />Ci1y En�inecr <br />L. cen� <br />Issued By <br />Inspection <br />Date Inspe <br />i;– <br />No. 23465 <br />