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. ett <br />,� <br />City of Everett <br />Sewer Application and Permit <br />No. 23107 " <br />DA'f E <br />/ <br />Service Address ' ! � � -! "'— <br />BillingP.ddress '� ' �� � � �/'- � t � "� <br />City, State, Zip ' �` '� � ' <br />Owner pJlortgagor) � '- <br />Billing Name ' — <br />Connection By ' � ' — <br />, i . /- _. J � " � .A.t <br />Address_ <br />r -�-1 <br />Phone_ --_— <br />DESCRIPTION: <br />Lot ' _ Block_ <br />Plat � � " �� � <br />Unplatted Description — <br />Type Permit: 1� . .. � _. ,_ .. �_. � . , � � <br />CHART NO. 7 �'� �' -`� <br />Utility Acco�mt No. <br />Permit Fee <br />Connection Chargel <br />Tot��! Fee <br />Signed <br />SEE SKETCH ATTACHED <br />INSPECIIC;'� <br />��J/�"'� <br />±% '7,'; � <br />�� <br />'; , <br />� <br />Sewer District_ ____ <br />Monthly Sewer Service_ <br />Mon[hly Se�ve� Constr. <br />Trunk <br />� _......� <br />Abutting Lot Line � <br />N, S, E• W -- <br />i <br />Approved By '! _� <br />Ciry Enyincer <br />i <br />ISSUP.d By - � = <br />Inspectian By " ���' �! � ��`'`' � <br />Date Inspected_ 6 ' � ' / —� — <br />No. 231Q7 <br />