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CNART N0. L � � <br /> everetl I <br /> �s / � � <br /> � <br /> City of Everett 3 _ Z,S �� I <br /> I <br /> Sewer Application and Permit ��'l�' <br /> No. 23355 DATE �� <br /> �s�� <br /> '/�a �.� �''A�.�" UtilityAccountNo. �� <br /> Service Address <br /> � s� Permit Fee��--� — <br /> Billing Address � �� / <br /> �_ Connection ChargelslAC..�[-=---�e <br /> cicv, scece. z�p , _.__.. �� ..� <br /> Owner (Mortgagor� v Total Fee�— <br /> Billing Name <br /> � <br /> � <br /> Connection By �� <br /> Signed c�:�om�� <br /> Address <br /> Phone h � ��a---- �� � <br /> Sewer District <br /> �! <br /> DESCRIPTION: __. i <br /> Lot_.--- B�ock Moinhly Sewer Service <br /> Plat <br /> Unplatted Description��� ^ y F�M Monthly Sewer Constr. I <br /> Trunk 9 � � S��f�-- I <br /> Type Permit: Lateral �/ 9 � �y�'S `a i <br /> Remarks: � �r � ' � � � Abutti� Lot Line 1 <br /> - � � S E W 3 � :3� �� ft. <br /> I <br /> I I <br /> I I, <br /> AppfOVBd BY Cnv Enpineer <br /> � <br /> IIssued BY�-- <br /> i y <br /> � L� \Lll:yC �^. /,� � _ . <br /> � � (,�.[� Inspection By_ —yI` <br />