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i 1'lN.'�t��� �;� � � +.�w � " � <br /> }�' h� <br /> '^ �h�'r.CY °_ S� p�:��� '�e'�� � ^3" r -. <br /> . aP <br /> �� '��' � •-� '� <br /> µ:�Iy. - __' J i � . . <br /> �. 617: ni � ��fi 5 2 f , . �`.^�aUaa'�iik�I�',�. . <br /> CHART N0. <br /> Cve e� I <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 23564 DATE '�' ' i ' i . �'�C��' a7"S <br /> � f <br /> Service Address � � � = Utility Account No. �I <br /> � . <br /> �u <br /> Billing Address � � � ���" �" ' ' ' � � Permit Fee " � <br /> City, State, Zip I L : � �.- /L�r � Connection Chargels) <br /> ., ; <br /> % ,� 1I /li , , , , ; <br /> Owner (Mortgagor�". Total F•�e ' <br /> Billing Name " � � � ' ' ' ' ' — <br /> Connection By j�� � � " �' � � " " ' ` <br /> Address t ' � � ' r ' " Signed' <br /> Customer <br /> ! . i_ . <br /> Phone ' ' - ' <br /> DESCRIPTION: Sewer District <br /> Lot � " �7 Block � <br /> , j, y Monthly Sewer Service <br /> Plat � + <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk _ <br /> Type Permit: , � , <br /> Lateral <br /> Remarks: <br /> _ Abutting Lot Line <br /> N, S, E, W ft. <br /> i _ �,',� <br /> i r., <br /> e <<, � , . <br /> � - I /�� �/ Approved By� -; J..!�. <br /> ��_JA«n�C �OY�+ �l�f� CityEnBineer � <br /> — Issued By l , l"��_ ;- r. ( � , . ; .�_ <br /> Inspection By -- <br /> Datelnspected <br /> SEE SKETCH ATTACHED N0. Z3J6�F <br /> INSPECTION <br />