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CHART NO. <br /> evereti <br /> e � <br /> City of Everett ,SF.�T ru �,y,�,£r.,,.�, <br /> /z-ie <br /> Sewer Application and Permit <br /> � <br /> 25193 � _ <br /> N0. � DATE � <br /> � <br /> � m <br /> Service Address / tility Account No. <br /> , ., �. <br /> Billing Address Permit Fee � -^ <br /> ... -� <br /> City, State, Zip � Connection Charge(s) � c o <br /> m o <br /> Owner (Mortgagor) , � Total Fee o 3 <br /> . , �. , _� m <br /> Billing Name � -Z+ <br /> - ., <br /> A = <br /> Connection By � � ca � , <br /> _ � x f <br /> Address ' Signed Customer � N ' <br /> � <br /> Phone � �� <br /> = m I <br /> DESCRIPTION: Sewer District m „ <br /> � <br /> Lot �� Block <br /> Monthly Sewer Service � m <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. _ � � <br /> -� r <br /> • m <br /> Trunk > <br /> Type Permit: A <br /> I s I <br /> Lateral_ n <br /> z <br /> Remarks: Abutting Lot Line 2 <br /> N, S, E, U1/ ft. in <br /> z <br /> 0 <br /> -� <br /> c <br /> m <br /> A pproved By - <br /> Ciry Engineer <br /> Issued By — � <br /> Inspection By "�`'�'^ti"^- I <br /> I <br /> Datelnspected //'L�'�"�� <br /> SEE SKETCH ATTACHED N�• Z5193 <br /> INSFECTION � : <br />