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. <br /> i _ ' CHART NO. ��J�Z `I–S <br /> � everett . . p 1 �, <br /> S B�ltd. <br /> � 6. �,�,9 <br /> City of Everett �L'" � <br /> Sewer Application and Permit <br /> NO. ZZ9GS DATE � � '��, — <br /> Service Address.—,� � ' � Utility Account No. <br /> , i– <br /> Billing Address i`�'' ' � ' � ", � Permit Fee � <br /> City, State, Zip " � Connection Chargels) <br /> ./ <br /> Owner (Mortgagor)�� ' Total Fee ' <br /> Billing Name �% - . <br /> Connection By " � - ;y-- ' <br /> Address Signed <br /> customer <br /> Phone ' �� <br /> DESCRIPTION: Sewer District ', <br /> Lot ' � Block ' � � � � <br /> T . Monthly Sewer Service <br /> Plat I <br /> Unplatted Description Monthly Sewer Constr. <br /> � Trunk I <br /> . , _ <br /> Type Permit: �% . _ � �, <br /> Lateral <br /> Remarks: Abutting Lot Line I ' <br /> N, S, E, W %� � ' ft. <br /> o SK CfcK�-S o <br /> o �FF� IF rJ"r '/�1 – �a/.�..� . <br /> Approved By � <br /> City Engineer <br /> Issued By % <br /> ^,� <br /> Inspection By `����� 'i <br /> Date I nspected S ' 2 3��7 <br /> SEE SKETCH ATTACHED No. 22968 <br /> �, <br /> INSPECTION � <br /> 1 <br /> I <br /> � <br /> � <br />