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.i� <br />everetl <br />' � <br />I City of Everett <br />i <br />; Sewzr Applicati�an and Permit <br />No. 22911 DATE _ <br />l_. ,_., <br />'� Sen�ice Address___ --- — <br />� .I � <br />BillingAddress + _ � _, �_.., I_.,.J <br />, r_ � <br />City, Siate, Zip - -- <br />�i Owner (1lortyagor) ' _— �-I ' L L � <br />I Billing Name_ r, �t_ (-� ��..�.� <br />��, C;onnection By_ — ` c.� .�` '-��� ��_�� . <br />_,_ <br />' , 4 � . �..,;:.-_ti: �_�- �--�-' <br />' Address -- <br />I�L__.. _ I ` __ <br />I DESCRIPTION: <br />Lot B!o k_ - <br />II j � �_��_i, _ J` _ �-.�. ._ :�_ _ j <br />Plat <br />i Unplatted Description_ <br />� __ _ <br />i <br />TYPe Permit: i�. �l� �_; ._ i.�r. �:_� r`i � <br />� -- <br />Remarks: <br />SEESKETCH A1lACHED <br />CHART N0._.:_ /.'_ =.`.,------ <br />; ` l <br />1-�,�-rr-�-li <br />� ' � _2 _�� s <br />� <br />;� <br />i � <br />�, <br />� — <br />Utility Account Nu. <br />r ..., <br />Permit Fee— -- r �—. <br />Connection Charyels)_�' �—�J° � � <br />�_. <br />ibtal Fee__' — <br />Signed___ — <br />Cuvlomer <br />� � L.11 _ <br />Sewer District -- <br />Mon:hly Sewer Service_ ' — — <br />Monthly Sewer Constr. <br />Trunk_______ . —.__— <br />Lateral_ ___ � ___ <br />Aiu�ttiny Lot Line <br />N, S, E, W <br />� <br />Approvea BY / / ��-- "' - =---� <br />C�ty Engmcer <br />�SSII@(� �Y. L' _ `�-: , � i , . . , . . , ., <br />� ��� � <br />Inspection 4��c <br />� <br />Date Inspected_ � �� � � ----- <br />N�. 22g11 <br />