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CHART NO. �� — <br /> everett I <br /> � ' , ' <br /> ; . . <br /> ,r <br /> � !�:-' <br /> . . , <br /> , <br /> City of Everett �-" , " <br /> � <br /> Sewer Application and Permit � <br /> No. 24643 DATE � — i <br /> Service Address.�--� Utility Acr,ount No. <br /> Billing Address_ Permit Fee . <br /> City, State, Zip Connection Charge(s) <br /> I <br /> Owner (Mortgagor) Total Fee r. <br /> � <br /> Billing Name i <br /> Connectiun By •�i�-- I <br /> . � <br /> Address���--g�-���— S�9ned c�s�omer <br /> Phone — I <br /> " 'i <br /> DESCRIPTION: Sewer District I <br /> Block Monthly Sewer Service <br /> Lot�— —�----- <br /> Plat�nz�rn��!;dd <br /> Unplatted Description Monthly Sewer Constr. <br /> --- — Trunk � <br /> Type Permit: ra� off � <br /> Lateral I <br /> Remarks: _ Abutting Lot Line � <br /> ��d oP.1� ,J O�•v tN ' N, S. E, W ft. I <br /> I <br /> � 3° - � � <br /> i <br /> ni T�,� I <br /> Approved By 31 <br /> — � ���y„�_ Ciry Engincer � <br /> —_ ISSU2(J By II <br /> S. Grannan I <br /> i <br /> I <br /> Inspection By— �i <br /> Date I nspected ' <br /> i <br /> SEE SKETCH ATTACHED N�• 2�64a �I <br /> I — INSP[CT!ON i <br />