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r � everett CH4RT N0. � i -- •-B- �� <br /> i � I <br /> I ' <br /> i i� City o( Everett <br /> I <br /> Sewer Application and Permit I <br /> , <br /> No. 24423 DATE ---�_1y��;� F, (' �! _ ;"_r��. I <br /> Service Address .S//_���l/Q�Q_ � <br /> U!ility A�ccunt No._ � <br /> Billing Address�?I� s � 3�n �� permit Fee ` `,] (� I <br /> ICiry, State, Zip = � - "c- 2 <br /> i . Connection Charge�s�_ <br /> � I Owner (Mortgagor) ���'��,yl-1-a.-iL`% Total Fee -- � .� � � <br /> i Billing Name��'�_PT�cn�, , <br /> i � <br /> I Connection By���L li(/_���� � <br /> _ ;rk_ ' <br /> I <br /> i Address_ �_/�j7 �� � Siyned _ i_ � I <br /> PI10�10_�S��-_Q��j Cas�omcr i <br /> i DESCRIPTION: <br /> � Sewer Distnct_ <br /> � Lot Block_ -- I <br /> Plat __ MonthlySewerService___ � <br /> � UnplattedDescription C�2 .� � �j �� i <br /> I ---�--�—`�-- _ Monthly Sewer Consir. <br /> �2_ - 2 �-�/ ! <br /> � Type Permit: ��a��� Trunk _ ! <br /> � Lateral <br /> Remarks: ---- <br /> i , <br /> � Abutting Lot Line � <br /> � - N, S• E, W— ft. <br /> I <br /> � }; }�TIC: `�7�1�ICS � <br /> � � r,l�J �.(�,C /`� �7� AuProved By � <br /> O(y Engmecr � <br /> __ I <br /> �� Issued By / _ i <br /> I _ Inspection py_______ _.__ <br /> --------- Datelnspectrd_ <br /> iSEESKETCH ATTACHED • <br /> i N0� 24423 <br /> �_ INSPKTION <br /> L -� <br />