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CHART NO.�S �--�� <br /> evereri _� <br /> � �. <br /> �S T v. � <br /> � ,%o /Br� <br /> � <br /> City of Everett ; >j�j <br /> Y�� <br /> Sev�er Application and Pernnit <br /> No. 23319 DATE �.� ��- � <br /> : <br /> Service Address_ � � Utility Account No. <br /> Billing Address � � Permit Fee �� <br /> V <br /> City, State, Zip <br /> ��o.'� Connection Chargels) <br /> .-� �� <br /> Owner (Mortgagor� _) Total Fee 7_d <br /> Biding Name <br /> Gonnection By "'� <br /> Signed " -'- <br /> Address Customcr <br /> Phone ��� � 3-� � <br /> DESCRIPTION: Sewer District <br /> Lot ,�lock Monthly Sewer Service <br /> Plat �l�,o�t '�'—�_ �'I' <br /> Unplatted Description `j _Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> AS%� C <br /> �//'` !o ot��/<' App�eved By <br /> Ciry Enc�inccr <br /> Issued By ' <br /> Inspection By <br /> �' `-J � <br /> Date Inspected �� � � <br /> SEE SKETCH ATTACHED N�� 23319 <br /> WS�'ECIION <br />