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r <br />r <br />A <br />L <br />L <br />T" <br />C�ClP�i <br />� <br />Cjty of Everett <br />Sewer Applicction and Permit <br />"/ _ L__. <br />N0. Z45ZZ DPTE �/1 --- ----- <br />6.2 �� v= � <br />����` Utility Ar.count No.— -�-- <br />$ervice Address �d'�� -�� a <br />�� D�' fJ,��1fJ,��ermit Fee� --��--- <br />Billiny Qcidrr.ss f� <br />-¢ � ��--� 330 -- <br />&���—'� --l� .20 Connection Chargels) � o <br />City, State, ZiP � <br />���..�otal Fee _30 ---��— <br />� D <br />pwnerlMurtgagor) -- ��*��J �%��—� �° <br />�� � 3.39 <br />Billing N3me <br />Con�ection By------- - "— �— <br />_ —�— <br />Si9ned - c,,,�o�-�,. <br />Address�—�-- -�-- � <br />� _— � rfJ� <br />Phone 3�%-.�G _ _ �ri�r.�f�t— <br />Sewer Districl_--- - <br />DESCRIPTION: / � <br />)))999999k Monthly Sewer Service�-�/-=`� — <br />Lot s+i o ------ <br />Plat --�fy���� _ Monthly Sewer Constr. <br />Unpletted Description_ ----- - - -- — Tf11lk <br />Type Permit: <br />Remarks: <br />Latcrnl <br />p.od <br />Abutting Lol Linn ft. <br />f�. S� E, W---_ - — ---- <br />� <br />APProved BV cnv E�a�^�^' <br />I ssued <br />Inspeclion By — � <br />_ Date Insp��c�ed��� — <br />-- rvo. 24.ri22 <br />SEESKETCH ATTACHED n n <br />�jr, � M..�: �" <br />INSPCC110N ��'OFirI x- � <br />� <br />V <br />�, <br />1 <br />J <br />J <br />�v <br />