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, , <br /> �� - <br /> � <br /> CHART N0. �-.�' � �'�'s � x <br /> everett -- <br /> e � _� � � <br /> City ot Everett � <br /> � , <br /> Sewer Application and Permit ' <br /> No. 23247 <br /> DATE � � �'� � <br /> , � , ,. � �I <br /> Service Address ' - Utility Account No. <br /> i <br /> Billing Address � _ Permit Fee ---�' <br /> City, State, Zip Connection Chargels� <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By � <br /> Address , � Signed_� J <br /> cu:tomer <br /> Phone <br /> OESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Tru nk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> e =; /! ,� ,� , • � S . / ' � � -f N, S, E, W ft. <br /> , , <br /> � f , t A' ' : N I)� <br /> S ' ' � <br /> , <br />' �7 S � ,� %� % •' <br /> Approved By ' ' ' <br /> City Enyinea <br /> I /I Issued By <br /> 1 <br /> Inspection BY '�i (/ �J��.� ; ; r� (/ <br />� Date I nspected �" .j ' > > <br /> SEE SKETCH ATTACHED No� 23247 <br /> INSPECTION <br />