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everefl <br />e <br />C{ty oi Everett <br />Sewer Application and Permit <br />7/9/B1 <br />N0. 24031 DATE - <br />i09 105tA Yi! ll�e• t•E• <br />Service Address --- <br />Billing Address - — <br />City, State, 2ip <br />pwner (Mortgagor) <br />Bilfng Name -- <br />citr oi s��r�tt <br />Connection By— — -- <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />gw Ceas�et es <br />�� f �C^�' f i. �i�i 1�7� r:.% <br />/� f f: L n�� <br />SEESKETCH ATTACHEO <br />HART NO. � � ' _� ` <br />Utility Account No. <br />MOO• <br />Permit Fee__ <br />Connection Chargels) <br />NOa• <br />Total Fee <br />pen Mill�r <br />�.igned c,,,,o�� <br />Sewer Dlstnct <br />Monthly Sewer Service_-- <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />ApprovedBy �• R• Sh�al i <br />Citv Enqineer � <br />s. BonA li <br />Issued By <br />i (/`�//. „?j�' I <br />Inspection By— :=- --- - <br />� <br />Oate Inspected --- - ----' <br />No. 24031 <br />iNe�F� i inv y <br />