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- CHART NO.s �7- � �- � <br /> everett. • <br /> ��-s��( <br /> � ��� �� s- � q <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 22963 DATE ��__ __-- <br /> Service Addresy�ldg A -� -�,Q��u� Utility Account No. <br /> � o � <br /> Billing Address� .,���2, Permit Fee _ <br /> Ciry, State, Z' -_�:�e�.l.�—�'�' �z.3 Connection Chargels) _.----- <br /> / �� -� � <br /> Owner IMortgagor) 1L� ,,,(A�t1— Total Fee 30 <br /> Hilling Name — <br /> Connection By — <br /> Address Siyned <br /> c,�,��,m�� <br /> Phone 3 3`�-/5 U 9 <br /> DESCRIPTION: Sewer District _— I <br /> Lot �_ Block._�%��-- Monthly Sewer Service � / � <br /> PIat1Z����i � � — <br />, Unplatte escripti� Monthly Sewer Constr. <br /> � — Trunk <br /> Type Permit:__ �L��1� ',� <br /> •i ��Laterai --- <br /> Remarks: � <br /> Abutting Lot Line <br /> � ��-�.t � <br /> N, S, E, W_l_ - -------it. <br /> — - Approved 8y -- <br /> f;iry E��gir i i <br /> issued By —__ <br /> ��� <br /> -- - ---- Inspectian E3y —��'� " �/� <br /> — !'� —y i <br /> _ ___ _ _ Date Inspected � � �C� - � <br /> SEE SKETCH ATTACHED No� 22963 <br /> I��SPECiION <br />