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r <br /> r <br /> CHART N0._ <br /> everett ,• <br /> � <br /> Cit�v of Everett <br /> Sewer Applicatic��n and Permit <br /> N0. 24570 AATE ��I�3 <br /> Service Address ��� ��c��� Utility Account No. <br /> Billing Address . Permit Fee �6 •�� <br /> City, State, Zip Connection Chargels) o <br /> 9r— <br /> Owner (Mortgagor) _ Total Fee �� <br /> Billing Name <br /> Connection Bya � <br /> Address. �' 's� Signed -- <br /> � ��?- / � . ��• �ri� �a � Customcr <br /> E <br /> Phone� _ 3 2 <br /> DES�RIPTION: Sewer District <br /> L,ot B�ock 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 /> Approved By�/ - ��'' !�� <br /> Ciiy Engincer <br /> Issued By��i� <br /> Inspection 8� •j�P�/��� <br /> Datelnspected �i 'd/—�3 <br /> SEE SKETCH ATTACHED No. 24570 <br /> INSPECTION �OSTED ��"`�"'"� � <br /> !. - <br />