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� <br /> � �BzrS <br /> CHART N0. � <br /> CVf��11 <br /> � I t-- <br /> c�. � <br /> � � � <br /> v U >- � � <br /> w r`- ' <br /> c - ,L, � <br /> City of Everett �' „ Z � <br /> o G- Q otr � <br /> H <br /> � O � ' I <br /> ��vv�r Application and Permit � � � <br /> w � � <br /> � .� c � <br /> No. 23156 DATE _ <br /> Service Address ,�r'� � > ���' ' Utitity Account No. ' � <br /> Billing Address permit Fee ��"3-�Q � <br /> 1 <br /> City,State, Zip�, ��-�-�I���i ��3� / Connection Charge�s) !'I <br /> Owner (Mortgagor) _ Total Fee /��� I <br /> 3iiling Name � <br /> Connection By ..��/�_ I I <br /> Address _ Signed___ <br /> Customer <br /> Phone i � <br /> DESCR�PTION: Sewe,- District��c��� _ <br /> I Lot ^���� Biock ���L� <br /> �;; �_ ,� Monthly Sewer Service i <br /> Plat�_;�;-�,�_LG�. <br />�I Unplat.ed Descnpiion Monthly Sewer Constr. <br /> Type Permit: Trunk , <br /> J". � "� -!� �i. - � J � � . _..+ r�'/;f Lateral <br /> Remarks: ; ,� ' /.� _� �' `il�� jiL . G��iNC= � <br /> Abutting Lot Line i <br /> -J '-��?.`�.�'i�,/ �.GSC . . ' .�`L�. puTH O/~ •''/:. N, S, E, W iL <br /> �� <br /> iAi /o '� .�T, _' icTol� c�f�'S•/� SS . �/t' . <br /> ' �i�:/,4 C•C.0 .ti , <br /> Npproved �y � � �_+l--+'1'-G•✓ <br /> Gf �nAin er <br /> — �_ <br /> r � <br /> � — IssuedE3y � �����ti.-. _ I <br /> - --- -- P YC_LY"'uc_/�� _ �K�! I <br /> Ins ection B .G+n <br /> --'�- --- ----- --- Da[elnspected_�j=�- <br /> SEF SKETCH ATTACHFD NO. 23"L5 G <br /> � <br />