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r <br /> � � CHART NO. - �' �- i- I <br /> i everetl � <br /> IIII � <br /> i <br /> I City of Everett , <br /> I Sew�� Application a�d Permit Ij <br /> NO. 24492 p DATE � _ ' ' . � � . � .i .:. i <br /> �/oZ� <br /> Service Address�f ����'O`'t — Utility Account No. <br /> i <br /> IBilling Address_ �QL--- Permit �ee �Q � � <br /> City, Stat^, Zip _ �•� Connecrion Chargels) �'� <br /> iOwner (Mortgagor) � � Total Fee � � -d � <br /> I <br /> Billing Narne <br /> Connection By --��"�'�� <br /> / �/I -7'/ ,. Ir <br /> /���t�( L�.u-4.te� Siyned ' _.i'.{i ��.-- <br /> AdC�f855 iiomcr i <br /> , <br /> Phone � �� ��� — � <br /> DESCRIPTION: Sewer District <br /> iLot. 81ock � Monthly Sewer Service <br /> Plat S�cb•'T'�� <br /> � Unpl�ted Descri ' n 3:� 33 3� Monthly Sewer Constr. <br /> I <br /> � ` � � Trunk_,___ <br /> Type Permit: <br /> i ' Lateral <br /> j ------- <br /> � Remarks: Abutting Lo[ Line <br /> I N, S, E, W t�• <br /> I <br /> j — Approved By <br /> i c��v e„e����� <br /> — -- — I <br /> � -- Issued By _ ' <br /> � ---- — <br /> - --- - ----� ..��- �' <br /> ��,�����a;�:�� � <br /> ' — — ------ --------- Date Inspected �/�- �-� <br /> II SEE SKETCH ATTACHED No. 24492 ! <br /> � INSPECTION <br /> L � <br /> 9 <br />