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' � ' ; � <br /> i� � <br /> CHART N0. ` J`) - "' � <br /> everen <br /> � 4 <br /> 9.z:,}., <br /> I� -�� , : <br /> City of Everett " - . }�l%"'J <br /> t <br /> � .� �. <br /> Sewer Application and Permit '� � <br /> N0. 24636 DATE ,r7 ��✓ : <br /> Service Address .3'g � � ^C4���2 / Utility Account No. <br /> oi <br /> Billing Address� � Permit Fee ,�' <br /> City,State, Zip • _ Connection Chargels) <br /> 3 b� <br /> Owner (Mortgayor / ��i Total Fe a <br /> Billing Name — -�;",-I"�� 'K� ���_ �6 �"� � <br /> !�(�K�/ / <br /> Connection By <br /> Address Signed <br /> customer <br /> Phone _ � <br /> D,E7S1CRIPTION: Sewer District � <br /> �6t' '2 -�y � Block 3 � <br /> Plat Monthly Sewer Service � <br /> Unplatted Description Monthly Sewer Constr. <br /> I <br /> Trunk ' <br /> Type Permit: I <br /> Lateral � <br /> Remarks: <br /> Abuttin Lot Line �/ <br /> N, S, E, W���7✓.� ft. <br /> �/ 7 <br /> Approved 8y �" �" / � <br /> CiW Enginecr <br /> — Issued By �' � <br /> InspectiopJ3y''` `-"` ��/��''� — <br /> Datelnspected ��2-' �y <br /> � <br /> SEE SKETCH ATTACHED No. 24636 <br /> INSPECTION <br /> � . 3 <br />