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everett <br /> CHART NO.��a -Z�"S <br /> � ' � <br /> • ;� Si �`.'�� <br /> City o( Everett ,'-���C <br /> �,� <br /> � <br /> Sewer Application and Permit <br /> rvo. 23441 ��rE --�,�F–z�-.--���-0--- __— —_— <br /> Service Address_ o���gt___ _ Utiliry Account No. <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) Total Fce___ <br /> 1k+rtc - _ - -__ _----- <br /> Billing Name <br /> Connection By <br /> �'h'-�f�-�Ye2'eLt---- -- <br /> Address <br /> - ---- Siyned-- <br /> fi�on �'f l��'n�,., _..- ----- <br /> Phone <br /> CFSGRIPTION: <br /> Sewer Disirict._ _ <br /> Lot_ Block__ - <br /> Plat__ Momhly Sewer Servicr___ <br /> Unplatted Description ________ Monthly Sewer Constr. <br /> TYpe PermiC Tn�nk <br /> ---Repair — <br /> -____ Lateral <br /> Remarks: — --"---- — <br /> Abul�inq Lot Line <br /> N, S, E, W <br /> _ _ ----ft. <br /> � 1-��ZvLaA��� � � r —� Approved [3Y-- -�, ..y, <br /> 7 .�ci��e�p��, r�7t1'TL7Y� <br /> 1J'��J //2.r+��i �'� �.�T�.,z Pi Issued BY.-- <br /> � __ _ _-- <br /> /]/Y'.-'' / _ .'1� !-r/�[-�Afl�i/ /r L-R <br /> ----------- <br /> Inspection By���_ ;.l . �/i ,.�,,� --- <br /> ---------- Date Ins ected_ � <br /> — — -- n ��_-_ _ _- _1_-�-- <br /> SEE SKETCH ATTACHED No. 23441 <br /> . � �. � �� <br />