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everett <br />e <br />City of Evciett <br />Sewer Application and Permit <br />No. 24197 d E 7/5/82 <br />7�" AUD�'TSC-- <br />,?0/ Inka W 21rxW' *x <br />Service Address -- -- --- <br />Billing Address -- <br />City, State, Zip — <br />Owner (Mortgagor) — <br />Billing Name <br />Connection By city of Everett <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Block <br />Type Permit: Repair <br />Remarks: <br />SEE SKETCH ATTACHro <br />CHART <br />OK <br />3-25-82 <br />dh-- <br />Utility Account No. <br />none <br />Permit Fee <br />Connection Charge(s)-- <br />none <br />Total Fee — <br />Signed <br />INSPECTION <br />Don Miller <br />Sewer District — <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Laleial <br />Abutting Lot Line <br />N,S,E,W <br />A. R. Theal <br />Approved By C,, EEneinem <br />E. Bond <br />Issued By <br />Inspection By <br />DateInspected <br />No. 24197 <br />