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CHART NO. � j7 -Z�yS <br /> everett ' <br /> e :-� , , .. ^; , � <br /> I`,�� �' % � � <br /> C�ty of Everett �y � <br /> Y •(_� <br /> Sewer Application and P�rmit <br /> N0. `Z376O DATE � ` � <br /> / Utifity Account No.� <br /> Service Address • _. <br /> ?ermit Fee <br /> Billing Address <br /> C'-� ' Connection Chargelsl oe <br /> City,State, ZiP ��-==- <br /> i Total Fee <br /> pWner (Mortgagor) <br /> Billing Name <br /> �Connection BY ' � �'' =�`� <br /> � i' � � <br /> , �.� :;� � ��- <br /> / _ $19�ed � Customer <br /> 4p.ddress � �o <br /> Phone � <br /> a- -, Sewer District <br /> : DESCRIPTION: s <br /> Block� Monthly Sewer Service <br /> Lot��aR-�- ����- d <br /> plat_�_ . Monthly Sewer Constr. <br /> Unplatted Description <br /> Trunk <br /> Type permit: Lateral I <br /> Remarks: Abuttiny Lot Line ft. i <br /> _ N, S, E, W <br /> —�----- <br /> qpproved BY�Ciry nginecr -- <br /> D � <br /> � �� <br /> Issued BY � <br /> Inspection By � � <br /> —�-- Datelnspected �Z2 ���'T �h�-- <br /> -- No. 23760 � <br /> SEE SKETCH ATTACHED � <br /> INSPECTION I <br />