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f <br />� <br /> � cvcri�ry I CHAR7 N0.�_ - <br /> i � _ � <br /> i �� S(r � <br /> I � - �; <br /> ICity of Everett I �S � - � , <br /> � �� <br /> Sewer App�i�ation and Permit � <br /> No. 22882 ; <br /> DAT[ ,�-__�-_ 7� _ <br /> J ---- ---_ ----- — <br /> Service Address_.�p1� <br />� �"�'��-- -- Utility qccount No.__ <br /> Billing Address__ — — I <br /> r _ Permit Fee � �� <br /> City, State, Zip ' L I <br /> Connection Chargels) I <br /> Owner (Mor[gagor) ------___ <br /> �-------- Total Fee <br /> Billing Name ---- i <br /> ------- <br /> i Connection By _���— ' <br /> Address <br /> ___---__--- ------ -- - Signed� <br /> Pf10f1C ----_._ Cus�n�-'r�7��`=t� <br />, DF.SCRIPTION: . _— I <br /> Lot_.___ B�ack____ SewerDistrict___ <br /> Plat -- <br />� I — — -- -- - — Monthly Sewer Service---_---- --__— <br /> Unpianed Description__,__� <br /> _ Monthly Sewer Constr. <br /> TYPe Permit: ' ----- <br /> --- <br /> -- --- ---- Trunk <br /> Remarks --- .--- Lateral <br /> --__ __ -- <br /> ° �' „ ---------- <br /> F,�► �.�v _ t_ _ �,P,_� <br /> ---d�-��_._ � 3 / ���_,� �,7� � , Abuttiny Lot Line <br /> V N, S. E, W_ <br /> �h, N, �,. _ -- <br /> -- �-.�a,�- .13-l.-• �_Ge�+��. --------- rc. <br /> _/_�L�-f- UGt�i+L. _l�'�..-_. - - <br /> - _ __ <br /> --- ' I <br /> - - <br /> _ _ ------- ��" <br /> I _ --- -------- qpProved B —�"�_'i�. I I <br /> -- c�ry [,�9����.,,, � � <br /> I - _ ��os '1 I i <br /> Issued BY----�- i <br /> I <br /> I --------__' Inspectiondy—�1��Jj�_� I <br /> - I <br /> — _— - _ i <br /> — <br /> I _ _---- -_ Date Inspected___. _ <br /> SEESKETCH ATTACHED <br /> - - __ --- <br />� � No. �2882 j <br /> �,,, ,�, , , <br /> I <br /> , , - _ � <br />