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�` <br />D <br />City of Everett <br />Sewer Application and Permit <br />No. 22959 <br />Service <br />Billing <br />City, S <br />Owner <br />DATE -- <br />Billing Name .&'fLtv6 <br />Connection Byrom <br />Address <br />Phone- .34257 <br />` 31?36f <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />CHART NO. A 19 _ F 8 _' <br />Utility Account No. %07/ <br />Permit Fee— dO <br />oQ <br />Connection Charge(s) 02.20 <br />Total Fee 361 `-P - <br />Signed <br />Curtomer <br />IN5PECIWH <br />Sewer District 3 <br />Monthly Sewer Service A .Sd <br />Monthly Sewer Constr. <br />Trunk_ 04-v20 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft <br />Approved <br />nymerr <br />Issued <br />Inspection B� r Cpriil�J <br />Date Inspected--� <br />No. 22959 <br />