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i <br /> � <br /> 1 <br /> � <br /> �I <br /> CHART NO. <br /> evereH <br /> e <br /> City of Everett i <br /> Sewer Application and Permit <br /> No. 25063 DATE <br /> _ <br /> Service Address »�B.e_�..:a� — Utility Account No. � <br /> � <br /> r, <br /> Billing Address � Permit Fee_ _ r' <br /> City, State, Zip ��pp�p� Connection Chargels) � � <br /> ... -a <br /> �n x <br /> Owner (Mortgagor) t Total Fee _ o m <br /> Union m o <br /> Billing Name � �� <br /> O 3 <br /> m <br /> Connection By 6rneE�ee I = -=i <br /> I m <br /> Address o.._ n Signed I Q z <br /> VD 58 Customer =� � <br /> rx <br /> Phone ug g}�� ��, <br /> < <br /> DESCRIPTION: Sewer District o 9 <br /> 3 <br /> Lot��— Block�r— Monthly Sewer Service ri � <br /> Plat �---�• v+ <br /> Unplatted Description Monthly Sewer Constr. $ m <br /> c v+ <br /> Trunk m N <br /> Type Permit: pp ofp i � � <br /> Lateral ' > <br /> z <br /> Remarks: � <br /> Abutting Lot Line I = <br /> N, g. E, W ft. _ <br /> � <br /> x <br /> � <br /> z <br /> 0 <br /> � <br />� �V� Approved By � <br /> �� ���� i ineer � m <br /> I <br />� — Issued By � <br />� I <br /> I ����— <br /> , <br /> � � <br /> � <br /> Datelnspected -�- � - b � <br />` SEE SKETCH ATTACHED N�• Z�7O63 � <br /> INSPECT!UN I <br /> I <br />