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. , �,: <br />everett <br />� <br />City of Everett <br />� <br />:/ <br />Sewer Application and Permit <br />No. 23328 DATE — "�%�� <br />CHART N0. 5� 7- Z�' S <br />Service Address � 2/1Z/� -�-c -n � 6��Y.� Utility Account No. <br />0 <br />Billing Address f 3/D �`e.r�� Permit Fee 3a `'� <br />City, State, Zip�-re� dfi� -f� �?�v/ Connection Charge(s)_ <br />p.���/ a� <br />Owner (Mortgagor) � u0-v24',�i�,�-�o-n��� aotal Fee �G � <br />Billing Name �-�+'�-� <br />Connection <br />Signed <br />Cuslamer <br />Phone <br />DESCRIPTION: <br />Lo�Y ��� Block-���q5� <br />Plat ���� -�k <br />Unplatted Description <br />Type Permit: <br />SEE SKETCH ATTACHED <br />II�!til'LC�fIUtJ <br />Sewer District���vi.�.�� <br />" � " <br />Monthly Sewer Service�ijR�cr�-eCl�_ _ <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry Enginecr <br />Issued Bv <br />Inspection By - "'' %' ' <br />Datelnsoected ., � • " -` <br />rvo. 2332II <br />