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1 <br /> � <br /> CHART NO. <br /> - z � - <br /> �71 / - Z 8 " y <br /> everett • <br /> e �o� �� <br /> City of Everett /� �6 -�/ ' <br /> ' ' and Perrnit � <br /> Sewer Applicat�on <br /> N0. Z319T DATE � , � � �� =T <br /> Service Address S 9 �S A �� -��6�1Q�"`�'�Ifty Account No. _Y/ <br /> i Permit Fee J <br /> Billing Address -. ; _ _ ' 1 <br /> . : �- ,o%- Con�ection Chargels) � <br /> City,State, Zip _ �� <br /> Owner (Mortgagor) '�� � Total Fee <br /> Billing Name <br /> - r � ' _. . . _._ <br /> Connection By / � ' <br /> , <br /> Signed r•:� <br /> Address c°:'Ot1�` <br /> Phone i/F` / ' / — <br /> DESCRIPTI N: Sewer District <br /> /� �j I% <br /> Lot Block Monthly Sewer Service <br /> l ' ./ � <br /> Plat — <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> 4I Type Permit: Laterel <br /> ;I Remarks: Abutting Lot Line _ <br /> N S E W ft. <br /> � <br /> Approved By <br /> CitY EnBineer <br /> _— � <br /> ISSUCd BY � "�— <br /> Inspection By ��J <br /> — — __-�%��� �� <br /> Date Inspected_ � <br /> SEE SKETCH A7TACHED N�• Z319T <br /> INSPECTION <br />