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, <br /> i� ', <br /> CHART NO.—__ � <br /> •everrtt I <br /> e � <br /> City of Everett � <br /> Sewer Application cnd Permit <br /> ,� _,. ; � = - _ , <br /> NO. 24398 DATE �/ ����� �,� " ': .� <br /> Service Address../–� � � ��' C`�N� � Utility Account No._ <br /> Billing Address � �� ' � ' ' Permit Fee �–'�6 — <br /> City,State, Zip � ' ' Connection ChTrgels) <br /> � I Total Fee � �,D <br /> Owner (Mortgagor�_L��� ' <br /> � ; <br /> Billing Name__ " ' ' <br /> Connection By { f ` ` � <br /> Address_ Signed ' I <br /> Customer <br /> Phone_ 24 �- — 3� � — <br /> DESCRIPTION: Sewer District <br /> Lot Block — Monthly Sewer Service. — <br /> Plat------ <br /> Unplatted Description � Monthly Sewer Constr. <br /> _ — Trunk <br /> Type Permit: ��.lP�f 1�� 4 <br /> - — Lateral I <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> � � � � <br /> /�ppfOVeC� BV C�tv Enpine�r <br /> � � �. �.. . . . <br /> — Issued By -- <br /> – Inspection By • I 'I <br /> Date Inspected� � $•� --- — - <br /> SEE SKETCH ATTACHED NO. Z4398 <br /> I INS?ECTION <br />