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, <br /> I <br /> ► <br /> t <br /> �� � o-ab-7q CHART NO.� - I' a8- y <br /> e���ett <br /> e �ST�� <br /> „_� _�� <br /> � City of Everett � <br /> Sewer Application and Permit <br /> E No. 23325 DATE,%Q���,% % <br /> � <br /> � <br /> � Service Address ' '` - ity Account No. <br /> � <br /> ' Billing Address � ' � Permit Fee — <br /> � / l-_:i- Connection Chargels) <br /> �r City, State, Zip <br /> r -- � <br /> ! Owner (Mortgagor) '! ' � Total Fee � <br /> 1 <br /> � Billing Name <br /> � � <br /> Con.�ection By � <br /> � <br /> Address ` Signed � <br /> customer <br /> Phone <br /> r DESCRIPT:ON:, Sewer District <br /> �� Lot �� Block Manthly Sewer Service <br /> � Plat 'i' �-� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> � <br /> ' Lateral <br /> 1 — • <br /> ;� Remarks: Abutting Lot Line <br /> �G'�/rA�t° � ��"'cJ N, S, E, W ft. <br /> Approved By `� � --� <br /> � O / , pt� � City Engineer <br /> i � . <br /> , ISSUE(I BY � � <br /> � HL/ .� <br /> � � <br /> Inspection By �„ ��'" <br /> Uate Inspected� � � � � � 7 � <br /> SEE SKE7CH ATTACHED N�� 23325 <br /> INSPECTION I <br />