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r •� <br /> CHART NO. <br /> everett <br /> e <br /> f City of Everett i � <br /> Sewer Application and Permit <br /> NO. Z4287 DATE ' ./ " <br /> Service Address '�� Utility Account No. <br /> �_.---- <br /> Billing Address <br /> :� � Permit Fee_��— <br /> City, State, 2ip � � /� � ' / � Connection Chargels) `Y <br /> % Total Fee � <br /> Owner (Mortgayor) � <br /> Billing Name <br /> Connection By i <br /> , :'.. . � <br /> Address Signed c�� o� — <br /> Phone — <br /> DESCRIPTION: Sewer District — <br /> Lot �U Block Monttily Sewer Service --- <br /> Plat � —! �' — <br /> Uiiplatted Description Monthly Sewer Constr. <br /> � <br /> Trunk I <br /> Type Permit: � � �^ — I <br /> Lateral <br /> RPmarks: qbutting Lot Line I <br /> � S N, S, E, W_— ft. � <br /> ��onJ�2E !? � t _ I <br /> " � m �L v£ <br /> � , i ;•� � <br /> Approved By_ <br /> CiIY Enpmear <br /> Issued BY= ' / — <br /> I <br /> Inspection By '�`�" � � <br /> t. � <br /> Date Inspected l� l3 � 2---- <br /> SEE SKETCH ATTACHED N� Z428T � <br /> � <br /> INSP[CTION ' <br /> L. .1 <br /> r ,� <br /> � <br />