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- I <br /> � <br /> , <br /> + <br /> CHART N0. w � 7� z �-� <br /> everett �/� ! <br /> � �O.S � t' �� I <br /> i e � ' � ' � s <br /> � City of Everett (� !� � <br /> 1�! <br /> � <br /> Sew�r Application and Permit ; <br /> NO. �L3�6� DA7E � - - '= % % �� <br /> iService Address �� ' '� - �- ' ' �' ' • Utility Account No. <br /> � ir ' <br /> I <br /> Billing Address Permit Fee <br /> � City, State, Zip Connection Charge(s) � <br /> , �� <br /> �i Owner (Morzgagor) -� ' � Total Fee ' <br /> l � <br /> Billing Name <br /> j J � _.,�- � <br /> Connection By � ' � <br /> � Signed � '-�C:�! �' � . ���L <br /> Ad(�f055 Cmto�fier <br /> I <br /> Phone <br /> ' DESCRIPTION: Sewer District <br /> Lot_J " - Block._.�— Monthly Sewer Service <br /> ' Plat ;'�. <br /> I Unplatted Description Monthly Sewer Constr. <br /> �, Trunk <br /> � TYPe Permit: � � <br /> ; <br /> Lateral <br /> ''� I Remarks: Abutting Lot Line <br /> � N S E W ft. <br /> � ; I <br /> i �, � <br /> �i • � %% �I <br /> i � � ' Approved By i <br /> iCiry Enpmeer . � , <br /> i Issued By � � � <br /> ', Inspection By <br /> ' Date Inspected 5/�9�� <br /> SEE SKETCH ATTACHED N�� 23063 <br /> ' ItJSf FCTICi! <br />