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. , r <br /> CHART N0. �" 2� � 2�1 �S <br /> everen <br /> � � -zi -� r <br /> City of Everett <br /> .(r,r ? <br /> Sewer Application and Permit <br /> No. 23860 DATE 1/e�ei __. <br /> Service Address <br /> 2318 Eaker Utility Account No. —•• <br /> OOII• <br /> Billing Address <br /> Permit Fee <br /> City,State, Zip _ Connection Chargels) <br /> nona <br /> Owner (Mortgagor) Total Fee — <br /> Billing Name — <br /> Connection By City of i��r�tt <br /> Don Mill�r <br /> Address Signed_ cus�on,e� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block— Monthly Sewer Service <br /> Plat I <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: 1�M R�p�ir <br /> Lateral <br /> fiRemarks: Abutting Lot Line <br /> ' ' ' i��� - �- i�- � !/. N, S, E, W ft. <br /> /[ �'�i n �A% <br /> —JT 1,� �,�, .� <br /> A- V <br /> Approved By_. <br /> Ft. eonsb�y <br /> c�rv E�o���a� <br /> 8. Boad <br /> Issued 8y - <br />( <br /> j.> <br /> Inspection By i ' � �����` � 'L <br /> I Date Inspected �" 1" � � -- <br />' rvo. 23860 <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />