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r <br /> everetl CHART NO. � i- - �s - y ' <br /> e - � <br /> IC,ry of Everett <br /> Sewer Application and Permit I <br /> i <br /> N0. 24424 DATE �� ' Q'.Z l`' . F" ��<zi- P - j <br /> IService Address�i�5 � GAC i Nu e� <br /> --� Utility Accoint No. I <br /> Billing Address__J!2�S � �Q �,/� <br /> n—� Permit Fee_ � � L) I <br /> City, State, Zip��/rRr- ,T. � <br /> i�"`-*�-�� ' 3 Connection Charge�s) I <br /> Owner (Mortgagor�CAR� /// -�i�c „ ,/ z �� I <br /> Total Fee � <br /> Billing Name�(�` � i <br /> � <br /> Connection By� /�L //J �'r��� <br /> Address `�2<)� �f <br /> -�3.tQQ--`�I/L—. Ui�_ Signed � I <br /> p i <br /> Phone.�SS�7�J - - c��sio�� I <br /> --- I <br /> DESCRIPTI ON: I <br /> Sewer District � <br /> Lot _ f3lock_-- — � <br /> Plat Monthl <br /> ___.______ y Sewer Service i <br /> Unplatted Description G � ,5��.�.��4 I <br /> �� � p [/ Nlonthly;;ewer Constr. <br /> �..L._.cl.'_Z___ <br /> TYpe Permit: � <br /> ---G1�P�/11/1�"e. irunk_- , --- � <br /> - I <br /> Remarks: <br /> �ateral � <br /> � Abutting Lot Line i <br /> - P�, S, ', W ft. i <br /> ,��C.�'7�C- 1 i��- - � <br /> i <br /> i <br /> i �' 'L r / � �.� '4pProved By <br /> City EnpineM I <br /> L <br /> i <br /> (SSUtld By��_ , � <br /> I _ I <br /> . ____ �f15j7@CllOfl �y�_ I <br /> -- — ---- Dnte Inspected___ I <br />, SEE SKETCH ATTACHE� N0. Z4424 i <br /> �NSPECTIO'� i <br /> � � � <br /> 0 <br />