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� <br /> 1 <br /> ---I <br /> ! 4�-�'-a-� - S ' <br /> CHART N0. � <br /> everett N� �"a-�1�� <br /> e �.5--� <br /> � � �] <br /> City of Everett f�/ Z y� / � . <br /> � � � <br /> Sewer Application and Permit <br /> N0. 23088 DATE ��_ -- �I <br /> ' Utility Account No. I <br /> Service Address – - <br /> Billing Address Permit Fea — <br /> City, State, Zip � Connection Charge�s) <br /> Owner (Mortgagor) Total Fee � <br /> � <br /> Billing Name � �" � <br /> � <br /> Connection By - � <br /> Address_ Siyned <br /> CuSlomer <br /> Phone <br /> DESCRIPTION: Sewer District �'� '� " <br /> Lot � Biock � <br /> Monthly Sewer Service <br /> Plat '�� <br /> Unplatted Description Monthly Sewer Constr. I <br /> Trunk - j <br /> Type Permit: � <br /> — Lateral <br /> Remarks: I <br /> Abuttinc�Lot Line i <br /> u � <br /> /rJV% S E W ' i'G ft. � <br /> I � - O �o � J��� • <br /> Approved By <br /> C�ry Engincer <br /> issued By �� <br /> i <br /> �� ��, � � {' � <br /> Inspection By____���1`«�'—� <br /> Date Inspected l! � G � I <br /> NO. Z3O88 � <br /> � <br /> SEESKETCH ATTACHED <br /> RdSPECTION II ; <br /> 1I <br /> J� _ 7 <br />