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r <br />n <br />r <br />L. <br />eeveretl . <br />City of Everett <br />Sewer Application and Permit <br />No. 24336 DATE z — <br />Service Address ;320 73.eo ST <br />Billing Address 3 20 23X --ST 'S W <br />City, State, Zip 'E V��4 99,20 <br />Owner (Mortgagors <br />Billing Name (Jo rj (L U)14-L)4N15 <br />Connection By iE 1? � — <br />Address ME <br />Phone--a,-C37-?Q 4-- <br />DESCRIPTION: <br />Lot / 41:;P — Block - <br />Plat <br />e;r:C d "- ,4/VA/P <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO. -- <br />Utility Account No._ 7 (0/ V- I <br />Permit Fee o.0 <br />Connection Charge(s) 270' 00 <br />Total Fee 30 • 00 <br />Signed <br />Cwfo"r <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By ` <br />Cdy Enpmeer <br />Issue 8y <br />n <br />Inspection By % <br />Date Inspected � L z- No. 224336 <br />INSPECTION Posrm C! �7 <br />1 <br />'1 <br />kil <br />J <br />L. <br />J <br />