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evereq /� ��� 'c �� �S CHART NO. _.__ <br /> I <br /> � <br /> � �5��� <br /> City of Everett �—y�� <br /> Sewer Application and Permit �� <br /> No. 23303 DATE '/ ' �____ <br /> Service Address Utility Account No. <br /> Billing Address��' . �7�s y _ Permit Fee �G1 O <br /> City, State, Zip Connection Chargels) <br /> �,d. <br /> Owner (Mortgagor) _ Total Fee �j D <br /> Billing Name � i _ <br /> Connection By <br /> � <br /> Address Signed ��-.- � ` '! I i - l , � <br /> �_��, 3P�3 � �,,,,o�, <br /> Phone�� � <br /> DESCRIPTION: Sewer District <br /> Lot g19, k_ --- .. --- <br /> Plat ` Monthly Sewer Service___ _ _.._ <br /> Unplatted Description _ Monthly Sewer Constr. <br /> Type Permit: ' �— �J - Trunk <br /> � ���'� ��� <br /> Lateral <br /> Remarks: <br /> -- Abutting Lot Line l <br /> - f�1, S, E, W��r�c..r� (t. <br /> G `' <br /> c,,qsT�c t�o,�cRcT� <br /> � /` �o �o.) � � _ __ -- APPro�ed BY-1-T� ' Q���/ <br /> . _ . _ "__ CitV Enginccr <br /> _ _ �� ��� � � <br /> IssuedBy[�--%ti.,��`-"9-�— <br /> - -- Inspection By �`�1�1 _vv L <br /> Date Inspected__ 7 ' ��� I <br /> --- , <br /> SEE SKETCH ATTACHED N0. 23303 � <br /> iN;4�LL 11��': I <br />