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n <br />r <br />L. <br />r <br />i <br />City of Everett <br />Sewer Application and Permit <br />No. 24557 / \/ DATE Jo'�� <br />r1V �/y/Le _ > ` Utility Account No <br />Service Addresses+--4�7�i'-`dA-d <br />��,Iyi.�f Permit Fee — <br />Billing Address <br />Q Connection Chargelsl_ o <br />City, State, Zip 0 0� <br />Total Fee <br />Owner (Mortgagor) <br />Billing Name�—s <br />Connection <br />Address <br />Phone '�uJ <br />DESCRIPTION: <br />Lots-- Block <br />Plat <br />Unplatted Desct <br />SEE SKETCH ATTACHED <br />Signed,_--- c,�$10,,,,,, <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral__ <br />\butting Lot Line <br />N,S,E.W— <br />INSPECTION <br />gpproved BY a c ry <br />Issued BV h <br />I � <br />i <br />Inspection By <br />Date Inspected= - <br />No. 24557 <br />'1 <br />J <br />