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�� <br /> CHART NO._ � -�?2 �- y <br /> everen '�l C, �-�-�"(; <br /> � ��� ��/ �/� � I <br /> City of Everett I i/ ' <br /> Sewer Application and Permit 'I <br /> No. 23062 DATE __ �- -------- -- -- <br /> 7 �Qc< �� Utility Ar.count No._����� <br /> Service Address�}�1_��SE�'� ov <br /> Billing Address � ��� � Permit Fee --�-- <br /> � v� <br /> G�y, State, Zip _ Connection Charge�s) � �� � <br /> �i�-�av^' - ��Q c� <br /> ` -'--- Total Fce— -. _. __._ = .._.---------- <br /> Owner IMortgagorl - <br /> Billing Name — <br /> Connection By -- — <br /> Address ---- Siyned -- - -- -------- <br /> c�n�onu•� <br /> Phone ------ / <br /> �r �'� �- 1�- <br /> DESCRIPT N: Sewer District�_--- �'."'_ - <br /> �ot_ _ �lock /�� �7� � MonthlySawerService_ �-�-`-'-�----- <br /> Plat _R��d�ea���'�'�; ,c�.,t-� _� �sr•-T�*L� <br /> �LM�L <br /> Unplatted Descripyfon Monthly Sewer Constr. <br /> � <br /> - Trunk �� <br /> Type Permit , <br /> �j��� Lateral _��h <br /> -�1�°`--1��-� ---- <br /> Rema�ks: — Abu[[iny Lot Linc <br /> -- N S E, W_ -_ _ __ _------ft. <br /> ----- qpproved BV <br /> Cny EnBmcer <br /> ISSUCd By ----� <br /> — Inspection fly__ . " � � <br /> _ _ -- - _ <br /> -- <br /> Datelnspected_._ ���-���-- <br /> - -- ------ -- - �j <br /> SEE SKETCH ATTACHED N0. G�OSZ <br /> ,. �� I � ! ;� �� <br />