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everett <br />�e <br />City of Everett <br />Sewer Application and Permit <br />N0. 24844, L909 ppqDDATE°-f- <br />Service Add ress/- _,(L,, -� Q l <br />Billing Aftess- / <br />CitY, St, te, Zip se —2r!t� �— <br />ONner (h1crtt;agor) <br />Billing Name <br />Utility Account No. W 3rry— 7 <br />Permit Fee 30 •OO <br />Connection Charges) <br />Total Fee 3 0 • O d <br />Connection By J <br />Address _ Signed e s� <br />Customer <br />Phone_ <br />DESCRIPTION: Sewer District <br />Lo;�—� Block <br />Monthly Sewer Service <br />Plat <br />Unplattcd Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N,S,E,IN <br />Approved By — <br />City Engineer <br />Issued <br />Inspection By e <br />Date I nspt ated <br />NO. 24844 <br />INSPECTION <br />