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--i <br /> � - <br /> CHART N0. r� " �� <br /> everett � - _~ I <br /> I <br /> e _ � <br /> � <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. Z410Z DATE -�//9�� °�^ , <br /> ��� a /+ ,,,__ _aL2����1�-e• Utility Account No. '' <br /> Service Address �-�--�� ��/� �O I <br /> -- ---- ��{/q r Permit Fee � I <br /> Billing Address � /J�� <br /> � _� �/� 2,Q`�O � Connection Chargels) a / <br /> City, State, Zip � � � <br /> /t_ .�,� . Total Fee d <br /> pwner (Mortgagor) � �, , ,���-�f ,�a_�a a� <br /> n - ��„ �_ <,�,�� 3 3 9 I <br /> Billing Name � � <br /> Connection By �':� ./� � /.a-. I, �� <br /> Signed Customcr � <br /> Address j <br /> t,! � e��Q D � <br /> Phone�-L-� � 2 � I'I <br /> Sewer District •� <br /> DESCRIPTION: �3 ( � S�'O I <br /> Lot � Block , Monthly Sewer Service � <br /> i <br /> Plat Monthly Sewer Constr. ' <br /> � ' <br /> Unplatted Description / /� a �Q 'i <br /> _ Trunk � � <br /> Type Permit: • r Laterai .2 2'y �� I <br /> I <br /> i <br /> Remarks: Abutting Lot Line ft' il <br /> N� g, E, W <br /> � <br /> ii <br /> /a ✓�- G�+'�— ' <br /> qpproved BY v` " �, <br /> City Engmcer � <br /> / ��✓� I <br /> Issued BY �� " — I <br /> i <br /> � l � � ---� <br /> Inspection B � '' I <br /> Daie I nspected � ~� �� ��y� <br /> � <br /> rvo. 24182 '� <br /> SEESKETCH ATTACHED <br /> INSPCCTION �OSt� �� - <br /> � <br />