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.. `_. .. . ... .. . . . ' ' J � , <br /> ' I <br /> I <br /> I <br /> { (� <br /> ` everett CHART NO. i'� . _'-.'" :_ ' <br /> /V <br /> � � c?,ST�" � . <br /> , � ' <br /> City of Everett � ^2� � S <br /> �� Sewer Application and Perm�t <br /> i � <br /> � <br /> � N0. ZZH74 DATE � <br /> � Service Address _ � A� Utility Account No. , <br /> I Billing Address Permit Fee - <br /> ICity, State, Zip Connection Charge(s) <br /> I <br /> Owner (Mor[gagor) Total Fee <br /> � Billing Name <br /> I . - <br /> IConnection By ' �"`" <br /> � Address � Signed J ^ <br /> Phone c�:��me� <br /> � DESCRIPTION: Sewer District <br /> , Lot _ Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> TYpe Permit: Trunk <br /> I Lateral <br /> I Remarks: <br /> i Abutting Lot Line <br /> � N. S, E, W <br /> I i/ � � J - ft. <br /> i �tJ C .¢i./ 1 -j; 'l, / -- <br /> I5� i! ,;i' ' ' � Approved Ey <br /> .�. .— <br /> �� Ciry Engmcet <br /> . .J .), �t'i. /-.� - <br /> Issued By / <br /> . • I vl 1'� ._ <br /> � (� <br /> '/ <br /> Inspection By � �``�'�� <br /> Date Inspected � — ,) J �� <br /> SEE SKETCH ATTACHED NO. 22� ��� <br /> , <br />