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CHART N0. �-� I� ZF1 -S <br /> everett � � <br /> e ��� � � <br /> ��s�� s-`l -80 <br /> City of Everett <br /> Sewer Application and Permit � <br /> S�iao <br /> NO. 23593 DATE <br /> 5ervice Address 12M cO� "� �'��-° ��"�'� Utility Account Ne. <br /> ��/'' �����'� norw <br /> Billing Address l Permit Fee_ <br /> City, State, Zip Connection Chargels) <br /> none <br /> Owner (Mortgagor) Totai Fee <br /> Billing Name <br /> Connection By ritq of Everett <br /> Gon 4tiller. <br /> Address Signed <br /> c��s��m�� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> �ot Block — <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk _ <br /> Type Permit: Ttepair <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, 5, E, W it. <br /> Approved By <br /> S?. n'arren <br /> . . . ' i, Ciry EnBineer <br /> "<' ' _ � `� : E. Bond <br /> . /�;�_ .;�.c.. -�, `� � Issued By <br /> �;�� ,- '�� �/,T � ir�i <br /> % ' /� T — h� �� � S . -�ci r %, <br /> � . <br /> 1 , .,L��' �G�, r- / .... / � - <br /> ,Inspection By /=��< /��f�i'' . ` ; ^�-- <br /> Datelnspected - %�r <br /> ISEE SKETCH ATTACHED No. 23593 <br /> INtii'EC1101d <br />