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/Z�CC' ;O�% 7 7S CHART N0. -- <br /> ecrcr�St. <br /> � y�,s/ G�-.o <br /> /- y-�� <br /> City of Everett <br /> �� <br /> Sewer Application and Permit ' <br /> No. 23304 DATE � �5���_ <br /> Service Address �L�'�� Utility Account No. <br /> Billing Address �6 � Permit Fee_� � <br /> City, State, 2i !+- - � Connection Charge�s) <br /> /�' 0" <br /> Owner (MortgagoiQ_/Lc_�� . ' Tota1 Fee� <br /> �, <br /> Billing Name�� � �^ ; <br /> Connection By �'_—�-��'�„ � <br /> / i, i . I li li 1 <br /> Address Siyned <br /> a�:�o�„e, <br /> Phone - <br /> DESCRIP N: Sewer District _ II <br /> Lot � � I ck � <br /> Plat Monthly Sewer Service — <br /> I <br /> Unplatted Description _ Monthly Sewer Constr. i <br /> — Trunk � <br />, TYPe Permit: — � <br /> Lateral _ I <br /> Remarks: Abuttiny Lot Line ��� � <br /> --- - N• S� E• ��`—"-_-""x� ft. i <br /> --. _ ; <br /> � i. ,� <br /> �.Act�c ca�.,c�cEiY <br /> i — — --_._ _ <br /> — - - --_ <br /> � <br /> d'K o -- C�-✓i/� _ . .---- -- anr,�o�� Y , <br /> Cny E��gmrm <br /> —.._ . ._ _. ___ .._ — _ _. - �SSUB(j �Y_ �' <br /> _ __ . i <br /> __ � ^ i <br /> � � <br /> _.___. InspecUun fty__ "�h"+ GT�� . . . tJ� � �, <br /> Q - c - `J � <br /> ---_.._ . __... . <br /> . . _. Datclnspee:ted_ ./..._l0 _�-.-- _-- ' <br /> SEE SKETCH ATTACHED N0. LJ�'JQ <br /> IH:,1'I ( 1li�i+ � <br />