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.,..�... . , <br /> CHART N0. <br /> everen <br /> � <br /> City of Everett SF.vT To C�A-cT��Jc. <br /> • • � Z/�/8� <br /> Sewer Appl�cat�on and Permit <br /> NO. ZSZ6V DATE _t'/�b /P� <br /> Service Address /3/y /Q- �� C� � /� ��4�%itii►.�llility Account No. <br /> BNling Address7�� 3 S�' �*'1t- `�— Permit Fee �30 _ <br /> City,State, 2ip.y�+,, ��!� � • —/�ad� Connectian Charge�s)_ _ <br /> �5p Total Fee 3� �!` <br /> Owner (Mortgagor►��-a�=.s��rx�*� — <br /> Billing Name � <br /> Connection By � Gi <br /> , �f .;---.----_.__--- <br /> Address Signed_ " � � <br /> ui�omer <br /> Phone 337- �o� 7 'i <br /> DESCRIPTION: Sewer District � <br /> �.ot___„3� Block 6 � <br /> �•�� Monthly Sew�r Service <br /> Plat t��� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � <br /> Lateral _ <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, yy ft. I <br /> Approved 8�• �� (��� �� <br /> citv Eapmcer <br /> — Issued By /� • ��� <br /> � �� <br /> Inspection By� �" <br /> Date Inspected!�' � '1� <br /> SEE SKETCH ATTACHED NO. Z5Z66 <br /> INSPECTION <br />