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, <br /> CHART NO. <br /> everett ' <br /> e <br /> �� J � <br /> City of Everett � O � �� <br /> . , � 5. <br /> Sewer Appl��ation and P�rmit <br /> NO. 23356 DATE �n'�3� ` y <br /> G[tr�Nity Account No. 0 <br /> Service Address <br /> 1 � � <br /> Permit Fee D <br /> Billing Address � <br /> _ Connection Chargefs) o a � <br /> City,State, � �n/� <br /> 1 Total Fee � <br /> pwner (Mortgagor <br /> Billing Name __ <br /> . --- <br /> Connection By �: _i, i: , ,i � .��' <br /> Signed ` c,,,�o�r <br /> Address ---- <br /> Phone �— �g�� p' <br /> Sewer District <br /> DESCRIPTION• <br /> �' Lot BIoc4 Monthly Sewer Service <br /> Plat Monthly Sewer Constr. <br /> Unplatted Description �,. <br /> Trunk .2' -�� <br /> Type Permit: Lateral � �3 <br /> Remarks: Abutting Lot e� ft. <br /> N, �W <br /> A roved BY ^'� �/� <br /> PP '�Ciry Engmen <br /> Issued BY � — <br /> ._-- <br /> Inspection BY <br /> Date I nspected <br /> No. 23356 <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />