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everell CHART NO <br /> � I <br /> /��j ��/ i <br /> I <br /> City of Everett f � / '�' � � i <br /> � <br /> � d <br /> Sewer Applization and Permit � <br /> i <br /> No. 22844 CATE � <br /> � <br /> Service Address ' .Utility Account Na � <br /> i <br /> Billing Address Permit Fee `� � <br /> City, State, Zip � � / Connection Charge(s) `� " <br /> Owner (Mortgagor) � Total Fee � ^ <br /> Billing Name � <br /> � <br /> Connection By _ i <br /> Hddress � Signed r � <br /> Cusmmcr i <br /> Phone - <br /> � <br /> DESCRIPTION: Sewer District_ .� � ! ._L j <br /> Lot Block <br /> Plat Monthly Sewer Service � <br /> Unplatted Description Monthly Sewer Constr. <br /> � <br /> Type PermiC � Trunk � ; <br /> Lateral <br /> I Remarks: i <br /> Abutting Lot Line <br /> � <br /> N, S. E. W_ ft. � <br /> - i <br /> Approved By <br /> City Engmecr i <br /> Issued By � ' <br /> � <br /> i <br /> i <br /> I <br /> Inspection B f � <br /> _ Date Inspected �� a�79 I <br /> � <br /> � SEE SKETCH ATTACHED No. 22844 I <br /> II"�, ;:rTION � <br /> _ ' <br />