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CHART N0. � 2 O � 2�-� �-~' ' <br /> everett <br /> e � <br /> PGst�-rl 3�26�so <br /> City of Everett <br /> Sewer Application cnd Permit � `� <br /> No. 23525 DATE 3���� <br /> 2515 �6DAR STREET <br /> Service Address _ Utility Account No. <br /> NOl7E <br /> Billing Address Permit Fee <br /> City, State, 2ip Connection Charge�s) <br /> NONC <br /> Owner (Mortgagor) Total Fee __ <br /> Billing Name <br /> Connection By�I� � ��TT _— — <br /> Address__ Signed_ � rZ�R _ <br /> c,�s���„�., <br /> Phone--- -- ------ <br /> DESCRIPTIO�',: Sewer District_ <br /> Lot Block <br /> Monthly Sewer Service___ _____— <br /> Plat <br /> Unplatted Description ___.____ Monthly Sewer Constr. <br /> � <br /> i <br /> — Trunk <br /> Type Permit RrDATR � <br /> Lateral � <br /> Remarks: <br /> Abuttiny Lot Line <br /> N, S, E, W (t. <br /> ''i/ Fi. HAP.REN <br /> " Approved By <br /> � -,� �A��� ;.�" � t Cily Engineer <br /> �/ � ? - f �� Y' " _ S. Nf�AREi17 <br /> Issued By_ <br /> � s,- ;/�. y_ �•- � � . i/ :i � .. .. � <br /> Inspection By— ' ' �/ ' — "� <br /> ---- Date Inspected—=--C_�� <br /> SEE SKETCH ATTACHED N� Z3525 <br /> iN;�r'L<_111;1, I <br />