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CHART N�O. <br /> everetl � <br /> � <br /> City of Everett <br /> Sewer Application and Permit <br /> I <br /> - ; � <br /> No. 25190 DATE ` � .. <br /> .� 9 �J� er2 �}�Y� � � ^ <br /> Service Address �_T t� Account No. <br /> Billing Address�_ Permit Fee <br /> 0� �m <br /> co <br /> mo <br /> Ciry,State, 2ip � 7 Connection Charge�s)_ I o� <br /> �� Total Fee_ �� �� � <br /> Owner (Mortgagor) 1\'� , I � � <br /> .., <br /> Billing Name " '-- a <br /> -�--- <br /> � •�� - .r. � <br /> Connection By � r _ ' ' I � �n <br /> . , I � <br /> � <br /> Address i � 1 / � .i '- � ` /�� ' ' ' Signed ___ p7O <br /> , ca:wn.e, I <br /> --I � <br /> Phone � i m.. <br /> v <br /> � <br /> DESCRIPTION: Sewer District _ i �N <br /> Lot Block `^ <br /> Plat Monthly Sewer Service �� <br /> • m <br /> Unplatted Description Monthly Sewer Constr. I A <br /> Trunk <br /> x <br /> Type Permit: I = <br /> Lateral I = <br /> .. <br /> Remarks: � `� <br /> Abutting Lot Line ' o <br /> N, S, E, W _ft. "i <br /> -- � <br /> i r. <br /> m <br /> � <br /> _ I <br /> F1PProved By �'�- j <br /> c�rv e�o��em <br /> I <br /> — -- Issued By -- — I <br /> � ' i <br /> j Inspectian By 7 F� ---- i <br /> ---- ---- Date Inspected C�����'�" -- <br /> SEE SKETCH ATTACHED NO. Z519O <br /> I INSP[CrION i <br />