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�L� '�. ��^- ,�7-7`i CHART NO. _ <br /> fv,ereR <br /> �D�/�� <br /> e _ _ � � <br /> / y <br /> City oi Everett <br /> � �1� <br /> Sewer Application and Permit ;'J� <br /> N0. 233OL DATE _a7� <br /> Service Address �� Utility Account No. <br /> /^v .� <br /> Billing Addres5'� Permit Fee <br /> City, State, 2ip _ � - Connection Charge�s) <br /> � <br /> Owner (Mortgagor)� • ' Total Fee _ <br /> Billing Name� - - , <br /> Connection By�[t�zre�ecs�� <br /> i 1 <br /> ' � � ' � � � � (-_. � � ._� I / <br /> Address � Signed _ _ <br /> f customer <br /> F / <br /> Phone _ ---- — <br /> DESCRIPTION: Sewer District __ <br /> Lot lock. <br /> Monthly Sewer Service__--_—_-- <br /> Plat <br /> Unplatted Description __. __ . ___ __ ._ -__. Monthly Sewer Constr. <br /> ' --- Trunk----- -. — <br /> Type Permit: �'�(,�T� �,.�ys � �r . <br /> ------------ —� La�eral _ <br /> Remarks <br /> ___ "�b�iitiny Lut I_inu <br /> N, S, E, W --�. ft. <br /> -- -ff---/�— -- - ---- — <br /> � Yc.kS i�c _-Y_Co u �a E j�; <br /> — D/C- � �� -- . . _--- qpproved BY r.��v e�q����r <br /> � o � .�f/2 �t- fyenv <br /> - � -- - -- -- -- I ssucd E3y-----_ - -- <br /> -- �--- --� Inspechon BY_ �.�� -`-L! � --- <br /> � - . .� .. - Date Inspec,ed. . . _. 7 _'- ,�7_/7 �-_-._ <br /> ISEE SItETCH A7TACHED No. 23302 <br /> JIi�SI'I:( 11UN <br />