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� <br />everett <br />e <br />ICity oi Everett <br />Sewer Applica�ion and P�rrr�it <br />No. 24824 <br />Dl�TE 4/19/e� <br />2C6 95th Plac� B.L• <br />Service Address - <br />Billing Address 1�29 Bso1u1�+11� — <br />twr�tt, Na. 98201 <br />City, State, Zip__ <br />Owner (Mortgagor) ���° �l�p� Inc� <br />Billing Name 8� <br />Connection By — - <br />252-1166 <br />Phone ---- --- - <br />DESCRIPTION: <br />�ot 20 Block ----- <br />Plat s�ridq� Di�. 1 ___ <br />Unplatted Descrip!ion — <br />Type Permit: <br />Remarks: <br />p�N (7pMpCL�OA <br />SCE SKETCH ATTACHED <br />CHART NO. <br />i <br />� <br />76373-� <br />Utiliry Account No._ -- <br />Permit Fee ��•00 __ <br />Connec[ion Cha�gelsl_ ���'� <br />30.00 <br />Total fee_ -- <br />i <br />Signed <br />Sewer Distnct_ _ . <br />Monthly Sewe� Service. <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />fbnd ISI -- <br />]30.00 <br />APProved By �. A• 'me�l � <br />City E�pinem <br />Issued By �' �� -- <br />� <br />� <br />Inspection By — — <br />Datelnspected�SP �/ � — <br />No. 24924 <br />_ <br />0 <br />-� <br />� <br />� <br />--1 T <br />r� y <br />�m <br />m� <br />o� <br />-� z <br />S --1 <br />m <br />c z <br />� <br />�� <br />x <br />r.-� f. <br />� N <br />0 <br />� <br />-i �� <br />m .- <br />0 <br />� <br />�r <br />c �mi+ <br />�N <br />z c� <br />--i r <br />. m <br />i• <br />N <br />� <br />x <br />r <br />z <br />� <br />� <br />c <br />�,-. <br />