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everett CHART NO. � � <br /> et ����t <br /> City of Everett <br /> � _��.. <br /> � <br /> Sewer Application and Permit <br /> No. 23182 DATE _ � ��:" �'i�j <br /> Service Address '� j Utility Account No. <br /> Billing Address Permit Fee _.�-- <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) Total Fee <br /> Biliing Name <br /> Connection By � -� <br /> Address � � � � <br /> Signed______ <br /> c�,—�ao�„��� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block — -- ---- — <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: -- Trunk <br /> Lateral <br /> Remarks: — <br /> Abuttin Lot Line <br /> ��. + r-� �� (�; � �, / , ' � 9 <br /> - N, S, E, W f� <br /> ,,�L - . .._ ---- <br /> � � f ,, , � �; _ , � . <br /> ,f iJ- � ,� �+ <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By -� c l� J�/a �"— <br /> Datelnspected �- �'�- 7� <br /> SEE SKETCH ATTACHED N0. 2318Z <br /> " �'ECTION <br />