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� / .��� ? C _ �� <br /> i CHART N0. � � <br /> everett. . <br /> e ��,z.� <br /> ,_ Z,��a <br /> City of Everett ��� <br /> ! <br /> Sewer Application cnd Permit <br /> N0. 233Z1 DATE l0 l �9 <br /> � . , <br /> ,6�- � ; <br /> 'ervice Address tility Account No. <br /> /� �d�__ <br /> Billing Addressa�a L ermit Fee ��(T <br /> City, State, Zip � Connection Charge�s) �/.3–�� f <br /> Owner (Mortgagor �� Total Fee �J� Qy/ <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone .�.�3— �U�(� <br /> DESCRIPTION: SewerDistrict�9 �--.. � <br /> Lot � Block 3 . �d <br /> Plat Monthly Sewer Service_ <br /> Unplatted D�scription 7 �_ 3 Monthly Sewer Constr. <br /> Type Permit: • Trunk l-/5� ��fV <br /> Lateral „�.aZb' ,�9'S' � <br /> Remarks: i <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> i\ppruvcd 13y <br /> Gly En�mcer <br /> �SSUCCI BY ' / <br /> Inspection By ` ' <br /> � / , / Q i <br /> Date I nspected_ /�Q �/ j %7 9 <br /> SEE SKETCH ATTACHED No. 23321 <br /> WSi'[CTICtJ <br />