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' CHAflT N0.�?b 2�1 , _ <br /> everetl �� � - � <br /> e . � �� - � ���� . . . . . . _ :� <br /> . � /". + <br /> /`'-��'� 4 �(Y �19 � %/ ,_' T-i% � <br /> � <br /> /C�/��� �� � �� � � �� �� � ',� � <br /> City of Everett � �, �� <br /> ���� � <br /> . ��,r�. <br /> Sev�r�r ApplicatiQn and Permit _...._ <br /> C'"� i ; ' '�=TT <br /> NO. Z3OZO DATE ��---------- �',.!,. . „ � - <br /> I�-- _ <br /> ServiceAddress_ =_�'-____---:_.__-__ __--. UtilityAcccunt �o._ —__ _—__ <br /> Billina.Address. .- Permrt Fee__ <br /> Ciry, 5tatc, Zip Connection C�rariicls)___^ —_ <br /> Owner (Mortgagor) i� _ Total Fee_____ — <br /> Billing Name ' / <br /> J <br /> Connection BY ---------- "�- . ... <br /> Addrrss _ Signed ' i _—_ � <br /> Cusiomer <br /> � <br /> �j � � <br /> Phone_ __-- — <br /> DESCRIPTIGN: Sewer District___ ____ _—_ _—._— <br /> Lot % Block --- MonthlySewerService - ____-- <br /> Plat — <br /> Unplatted Desc�iption Monthly Sewer Constr. <br /> -- --- ---- Trunk <br /> Type PermiC ---- <br /> Lateral , <br /> Remarks: <br /> � — Abuttiny Lot Line <br /> M, S, E, W___ ft. <br /> -- Approved By <br /> GW Enpm<e� <br /> --- —___- ISSUBd BV—_— _ i <br /> ,_ -- ,_ I <br /> _ - � �� � ' ,' � <br /> Inspection 8�,.4'l��G- _-, ._:{..'_ --- - <br /> — .� - � �yJ <br /> _ .._. . ..---� - -- _. ._ . <br /> ...__- - ---- Datelnspected--``---__.r�_------- <br /> SEE SKETCH ATTACHED N0. G3OlO <br /> INSI'[C110N <br />