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CHART NO. Y �'7 -Za' <br /> everett _...�_ __..._.�. .... ....�.... ._ <br /> -------`_�-__.� <br /> e , ,��. <br /> ; ,,,,,� c, , l <br /> ' `�"��� �.r,r.+��� ..� - 24�8 <br /> �� , f . . t � <br /> City of Everett ' • •� 3v', <br /> � :� 1�� <br /> • ' – ' , �.� <br /> Sewer Apphcation and Perm�t , .- - .. - <br /> NO. Z�O12 DATE � <br /> ���g ��� � :� .' %i:' / UU iy Account No. <br /> Service Address none <br /> Permit Fee <br /> Billing Address <br /> Connection Charge�s) <br /> City, State, Zip nona <br /> Total Fee <br /> Owrer (Mortgagor) <br /> Billi�g Name <br /> Connection By Don Millar <br /> Signed Customcr <br /> Address <br /> � <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> � Block <br /> Lot — Monthly Sewer Service <br /> .� Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> , Trunk <br /> Type Permit: .✓ � Laceral <br /> , � <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W <br /> - � ,�� ' �r'���</. <br /> f i �" <br /> '!: }. <br /> � <br /> . rF- ,�, , , A. R. Thnal <br /> ;/ � � ., � • - "ApProved By <br /> Ciry Enginccr <br /> �. � / <br /> �j- � ,� . / i /i , t .- --- E. B. Dond <br /> - �Iss�ed BY <br /> : l� .�f� ��r.�; , �-. <br /> Inspection By : j <br /> Date I nspected % � ' i <br /> No. 24012 ; <br /> SEE SKETCH ATTACHED � <br /> INS?ECTION �. <br /> .� <br /> i <br />