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evere" <br />'ke <br />City of Everett <br />Sewer Application and Permit <br />NO. 24199 DATE �jS ✓ �Y <br />Service Address /27,-7 lo3 <br />+3' <br />Billing Address �iawA� — <br />City, State, Zip <br />(7 � <br />Owner (Moi tgagor) 7%�4 �'L <br />(C,, <br />3Sy _ 5691 <br />Billing Name— 4L,11t?r-- <br />Connection By — <br />Phone -- <br />DESCRIPTION: <br />Lot t4 QAt!/ _ Block Z <br />Plat 1315✓ IhA45 fJ "y <br />Unplatted <br />Type Permit: <br />SEE SKETCH ATTACHED <br />CHART NO <br />?OS —\ 0 <br />�- k3 -gZ <br />Utility Account No. <br />d�- <br />Permit Fee -- <br />Connection Chargels) <br />Total Fee 3p <br />Signed <br />INSPECTION <br />Sewer <br />Monthly Sewer Service — <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved <br />City Engineer <br />Issued <br />Inspection By i <br />Date Inspected 5� D zi <br />No. 24199 <br />1 <br />