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CHART NO._�f� 3 �— �" �r S <br /> everetl <br /> � �OS��= a <br /> �-�- �Z <br /> City of Everett � <br /> Sew�r Application cr�d Permit <br /> NU. 24Z6T DATE ��/'�� � — <br /> Service Address_ � n � "' Utility Account No. � <br /> ,�' Pennit Fee � u <br /> Billing Address%!� "" <br /> ' P��u.,�� C1 �4 3 Connection Chargels) — <br /> City, State, Zi 'N l �% <br /> 7���� ,,i,o/�/�.,x. �u��}y(�rrc To[al Fee �"� — <br /> Owner (Murtgagor) � <-��-f�- • _ I <br /> Billing Neme � ��-j�+' � -- <br /> � � `��� ----- .�-� - - . .... I <br /> -•r�,---�� <br /> Connection 8y , � �. - � *-%�! <br /> , l � �� , ..:: .2.-'•, ,.. <br /> 7 r �� Signed ` �• �-�" <br /> Address 9 Cuvomcr <br /> �,Ynr,e,e�� �� <br /> Phone�-st�j-Ys'--- — <br /> DESCRIPTION: Sewer District_— <br /> Lot 81ack ` .y Monthly Sewer Service <br /> Plat� '' � 1 - �� <br /> Unplat?ed Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: , E <br /> � — Lateral_ - <br /> Remarks: Ahutting Lot Line <br /> N S E W ft. <br /> — Approved BY—/�� � "`f'��---- <br /> Ciry EnBmeer <br /> Issued 8y f" - ��r <br /> � <br /> i � <br /> C - � �� ��� � <br /> Inspection By _;}�`�'� <br /> Date Inspected / � � — <br /> SEE SKETCH ATTNCHED N�• Z��vT <br /> INSPECTION � <br /> a <br />