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_ _ . <br /> , �,/ Q --__ _ _ _-- _---- �---------A---- <br /> �`-' �"Q �� CHART NO.S-I�-���'�t <br /> everett ()�, Q�1���9 <br /> � � ���C� . <br /> � <br /> � <br /> City of Everett <br /> � � ��:�� ? �I <br /> Sewer Application and Permit --���� <br /> ; +.� ' <br /> N0. 23150 DATE ����i�f <br /> Service AddressS.2�L� Utility Account No. <br /> �' Billing Address ' Permit Fee <br /> a__� <br /> City, State, Zip i i Connection Charge(s) 1 �' D <br /> Owner (Mortgagor) Total Fee _ <br /> Billing Name <br /> Connection By ' — � <br /> ; Address Signed %'� / <br /> c� �� <br /> Phone � � � " <br /> ' - <br /> DESCRIPTION: Sewer District ' <br /> Lo� ' Block <br /> Monthly Sewer Service_ <br /> Plat ' <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: i <br /> Lateral <br /> � Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �-F <br /> � J� Approved By <br /> Ciry Engineer <br /> _ <br /> i <br /> Issued By <br /> Inspection By �`� �Qt`- <br /> Date I nspected � ' z-L'� '� <br /> SEE SKETCH ATTACHED NO. Z3150 <br /> INSPECTION <br />