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- CHART NO. <br /> everett <br /> e <br /> �;�� <br /> City of Everett <br /> /Z/-�'o <br /> Sewer Application ar�d Permit �� <br /> No. 23438 DATE � � : . ,� ' <br /> � <br /> �3 i 7, <br /> Service Address "�'��� Utility Account No. <br /> Billing Address— 1 � Permit Fee � <br /> City, State, Zip . �_. - ! Connection Charge(s) <br /> Owner (Mortgagor) : � �- � � � Total Fee � <br /> Billing Name_. - <br /> Connection By <br /> Address_ � _ r ' ��• Signed <br /> Customrr <br /> Phone___-_ ` � f / <br /> DESCRIPTION: Sewer District <br /> Lot � � •�� Block ' � �f '-� — <br /> Plat • / � Monthly Sewer Service <br /> Unplatted Description PJlonthly Sewer Constr. <br /> Type Permit: Trunk I <br /> Laterai <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W it. <br /> i <br /> � <br /> Approved By <br /> Cfly Engineer I <br /> — Issued By �� ' , ; .: <br /> Inspection By� � <br /> Date lnspected ��� — z"� ��'� <br /> SEE SKETCH ATTACHED No. 23438 <br /> \ <br /> INSPECTION <br />