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CHART N0. <br /> � evereri <br /> e � <br /> City of Everett <br /> � �� � <br /> Sewer Application and Permit <br /> N0. ?S17H DATE - �� / ' <br /> `���.�/ , / ,, / <br /> Service Addres��' � - VC��•�P�/v ' � `Utility Account No. <br /> Eilling Addresr <br /> � ' i Permit Fee �7 � <br /> City, State, Zip Connection Charge�s)�� <br /> Owner (Mortgagcr}'-- Total Fe �� <br /> ; •.. <br /> Billing Name � C/ "`� � _g� <br /> -5 ��' -�� <br /> Connection By � J /� ` - <br /> Address-` ' !� Signed ` � �. <br /> Cuibmer � <br /> i�� _ � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service_ <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> � Trunk <br /> Type Permit: ;� � ,F ;/p <br /> Lateral <br /> Remarks: �� � <br /> Abutting Lot Line � <br /> � . N S E W ft. <br /> .� . - _ — ` . , <br /> ,, <br /> — Approved By_ <br /> Ciry Engineer <br /> � . <br /> --- Issued By - � <br /> Inspection By�L <br /> Date Inspected ' — <br /> �O—ZS l o <br /> SEE SKETCH ATTACHED N0. 5� I A ' <br /> INSPECTION <br />