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� -. <br /> CHART NO. <br /> � everett � <br /> � �0� , �� <br /> 3-zs -gZ i <br /> � <br /> City of Everett I <br /> i <br /> Sewer Application and Permit <br /> March 16 I, <br /> NO. 24Z16 DATE ----- I <br /> 4506 Che�tnut �)tility Account No. I <br /> Service Address I <br /> nona � <br /> Permit Fee <br /> Billing Address_ I <br /> Connection Charyels) ' <br /> CiN. State, Zip -- � <br /> non• i <br /> Owner (Mortgagor) Total Fee__ __ .—_ — <br /> i <br /> Billing Name � <br /> i <br /> City of fivasett I <br /> Connection By_-- — -- Don Miller <br /> i <br /> A�Idress __ Signed c�„i�R,�•� — �� <br /> Phone ----- — — I <br /> DESCRIPTION: Sewer Dis[rict_____—----- ' <br /> Lot__ Block — Monthly Sewer Service_ I <br /> II� Plat _ - � <br /> Unplatted Description. Monthly Sewer Constr. <br />� Trunk I� <br /> Type Pennit: Aep�ir _ I <br /> � — Lateral � <br /> I <br /> -- i <br /> Remarks: - �; qbutting Lot Line j <br /> N S E W fL <br /> i - = �; ,�%.�.:,. t. ;. ^ . � <br /> � . / � <br />; �, 7• ./•r,C: : 7/!� �q', ..�i,i�i . A. R. Theal ' <br /> i <br /> " Approved By ', <br /> f . C�Iv Enpmeer I <br /> I� _ � �� _ � . w ��:] L�,t� /:. . _ <br /> ,� � E. Dond I <br /> �" �,� r r. '" - ' ' IssuedBv II <br /> �� �, <br />�i —_ . .__1 <br /> Inspection By— <br />� —---- ---- -- - ---__--- Date Inspected — <br /> SEE SKETCH ATIACHED ' NO. Z�FZ�6 <br /> • •�ECTtON � <br />� I <br />�. <br /> I�_ _ _ 1. <br />