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�'���crett <br /> � CHART NQ,___ <br /> �/ �� J �� - --- <br /> City of Everett �:.., — / � �� <br /> n <br /> I <br /> ! Sewer Application and Permit �� <br /> , <br /> N0. 23117 DATE <br /> — -----T------ — <br /> � Service Address_ —�----�_ <br /> If.illing qddress_ Utility qr;,,,�int No. _ <br /> City, State, Zip �_ , — Permit Fee�___�—_ <br /> � � Connection Charge�s�_ <br /> Owner (Mortgagor�_ ; <br /> Billing Name_� Total Fee _____ <br /> � i <br /> � Connection By <br /> i <br /> � <br /> � Address �— ' <br /> ;' <br /> i Phone , , �� S�9ned <br /> ._---��_._1_--- - -_ --cu:�omer <br /> .—_______._—'_' <br /> � DFSCRIPTION: _ , <br /> Lot � Block— Sewer District_ <br /> ; Plat <br /> Unplatted Desr.ription.�� Monthly Sewer Service�_ <br /> � �--- _ Monthly Sewer Constr. <br /> I �-- , <br /> � TYPe Permit: --_ <br /> �� / ' Trunk--_ <br /> -�-__— _'— <br /> i Remarks: Latcral <br /> ---------__� Abutting Lot Line <br /> �__ <br /> +� —'-- �--- N, S, E, W <br /> � ---�---_ft. <br /> ' �_ �__ <br /> i -- APProved By <br /> '�--��_.�_ <br /> ; Cny Enpineer ��_ <br /> �SSUC(I BY______ <br /> '�—�__ n � <br /> �----------- <br /> I �__ ----------�-- Inspecbon By. �vq1�� � �� <br /> -------- <br /> i Date Inspected 5 <br /> SEE SKETCH ATTq�yED � 93 � <br /> I �— ---- <br /> _ ^'� 23117 <br />