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CHART NO. <br /> everett <br /> � ps�-b,J�z <br /> � <br /> City of Everett ,L•�'� -� <br /> Sewer Application and Permit <br /> N0. Z417� DATE �—IS' � %L — <br /> Service Address� /� Utility Account No. o <br /> �� / <br /> Billing Address <br /> Permit Fee <br /> City,S:ate, 2ip Connection Chargels) <br /> / ��� <br /> Owner (Mortgagorl r Total Fee � d <br /> � <br /> Billing Name <br /> r° ���� � / , <br /> Connection By � ' /, , �� <br /> Signeil"�--"`� / � / '� <br /> Addf055 �—rCustamer <br /> Phone � ��'9 �� 3 � <br /> DESCRIPTION: Sewer Dist,ict <br /> �� _ Block �/J Monthly Sewer Service <br /> Plat � ��E���� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ; i L ;~ - <br /> �ateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved BY j , � , l, �� <br /> CiIY Engineef <br /> " /Issued By �" —�—' <br /> C <br /> Inspection By <br /> Date Inspected �� � <br /> SEE SKETCH ATTACHED N0. Z417S <br /> INSPECTION <br /> J <br /> I <br />