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r� <br />� <br />L <br />everen <br />e <br />City of Everett <br />Se�nrer Application and Permit <br />CHART NO.—_ �� ^- �`� ' =� <br />No. 24657 DATE ,LO ���c�.3 I 7,�.'.:� . Y_�S I�•�6'–N= <br />� <br />Service Address .3 v2d �� � t___Utility Account No._L.�a a 3-7 <br />4� <br />Billing Address�.(f � Permit Fee � D <br />U�'. _ <br />City, State, Zip ���i4 _ ��� 3 Connection Chargels) 9�i % <br />� a �' <br />Owner (Mortgagor) � Totd� Fee _3 <br />� <br />Billing Name_ <br />Connection <br />Signed ' - <br />Cusrome <br />Phone- 3s3— /�3�/ <br />DESCRIPTION: Sewer District �.��r <br />Lot Block <br />p�a� � �� Monthly Sewer Service_LyrtQ� � <br />Unplatted Descriptio�i _. �`'f�^ Monthly Sewer Constr. <br />�� <br />Type Permit: � <br />Remarks: �ietiny 1►ccount Huatx+r <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk u�_ <br />o� <br />Lateral So2 ,% <br />Abutting Lot Line <br />N, S, E, W �0 d it. <br />� • � <br />Approved By � �'�• `��(' <br />Ciry Enpinecr <br />+ ' // <br />� � <br />�SSUP// $•y_ � �_-„F�+_ _ — <br />Inspection <br />Datelnspec <br />No. 24657 <br />.1 <br />1 <br />1 <br />� <br />