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r <br /> 1 <br /> CHART NO. � <br /> i evereH I <br /> e � <br /> �� � <br /> r' City of Everett � � � � �� � � <br /> �,, <br /> Sewer Application and Permit <br /> , <br /> No. 23972 �� DATE ----�y�'�t.�--- i <br /> ��__ I <br /> Service Address�_.2� C'��—b� Utility Account No. <br /> .�'"'�� <br /> Billing Address� � Permit Fee�~ <br /> City,State, Zip �v Connection Chargels) I <br /> 9Ya.� � r <br /> Owner (Mortgagor►� '� ' Total Fee <br /> � <br /> Billing Name � <br /> Connection By <br /> , <br /> � <br /> � Address _ Signed �_ ` c�.iome� � I <br /> . � <br /> Phone���,p � <br /> DESCRIPTION: <br /> Sewer District � <br /> Lot Block_ Monthly SewPr Service <br /> Plat � <br /> Unplatted Description - 3 -� ' y Monthly Sewer Constr. � <br /> Trunk I <br /> Type Permit: �_ <br /> l.ateral <br /> Remarks: c� s �Ibutting Lot Line <br /> Tlt�t Da�1� �T . 'T�, � N, S, E, W ft. <br /> 'li s- -r <br /> . <br /> — � � � _ , /- <br /> PP � <br /> —� A rov0d BY Clry Enqmen �i <br /> Iz � �iZ� � � �55�CdBY �� � �� 1 I <br /> I <br /> — � <br /> � Inspection By — � <br /> Date I nspected __. I <br /> SEE SKETCH ATTACHED NO. G39�2 <br /> INSPECTION <br /> 4. J <br /> t � <br />