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CHART N0. � ' � �` � ` <br /> everett ' <br /> � r <br /> �QS,c� y1z3�8o <br /> City of Everett <br /> ` <br /> Sewer Application and Permit <br /> No. 23535 oA rE 3/i�ieo <br /> Service Address 2115 Cl�wlaad <br /> — Utility Account No. <br /> Billing Address Permit Fee aone <br /> City, State, 2ip_ Cennection Charge�s) <br /> Owner (Mortgagor) none <br /> Total Fee <br /> Billing Name <br /> Connection gy City of Everett <br /> Address mn Hiller <br /> Signed___ <br /> _ --- --- <br /> c��,���„��„ --�- ----- <br /> Phone_ <br /> DESCRIPTION: Sewer Dis�rict <br /> Lot - <br /> -- _.--- <br /> _ Blor.k <br /> Plat Monthly Sewer Service _ <br /> - -- <br /> Unplatted Description _ _ __ __ Monthly Sewer Constr <br /> Type Permit: Trunk_ _ <br /> ------_. _ Lateral <br /> _._ _. - ----- <br /> Remarks: royeir <br /> ------------� - Abut�iny Lot Line <br /> --- --- N, S, E. W_ ft. <br /> � <br /> I <br /> ----- ---- � <br /> i <br /> � __ _ _ ` `S ���� J2C _. Approved By t.. t-,irmr. <br /> _ _ i <br /> I�I , Lii - . . . .____ _ _--___ <br /> �;- • .� �Lt�� ��'. GIVEn<Pnrrr <br /> —�-__��--���11:/�1r.-��� � ^-'� ' __ 1:. taona <br /> Issued By <br /> �� � <br /> Inspect'on By �'�<�j����Q-y�c �r.�_ <br /> ----- — _ Datelnspected,____�-/���C:� <br /> SEE SKETCH ATTACHED N�� 23535 <br /> �,t,i�! � Ii��w <br />