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` <br /> -� <br /> CHART N0. <br /> , everen � <br /> � <br /> e l �ST� t� I - <br /> City of Everett � - ` - G Z I <br /> . . • � I <br /> Sewer ApplicatiAn and Perrn6fi <br /> No. 24269 5�'�82 I <br /> DATE <br /> Service Address 3009 Lor.ibard Utility Account No. — <br /> 3002 Wetmore permit Fee z 'S� � <br /> Billing Address i <br /> City, Stace, Zip �veretk, Ylashingtan 98201 Connec[ion Charge(s) --- <br /> I <br /> � City of tverett Total Fee Z �S� — I <br /> � Owner (Mortgagor) <br /> IBilling Name ' <br /> � Sas� <br /> � Connection By <br /> � <br /> Address Signed__ � c��stomcr li <br /> 259-Ei701 <br /> Phone <br /> � <br /> iDESCRIPTION: Sewer District i <br /> �ot 5 Block �13 Monthly Se�rver Service II <br /> Plat �'vQrett Land Co' s lsje i <br /> Unplatted Description Monthly Sewer Constr. I <br /> — Trunk <br /> Type P::rmit: Cap-off I <br /> — — Lateral <br /> � <br /> I Rernarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> S �j�""— A. P.. Theal � <br /> Approved E3y <br /> City Engineer , <br /> P•.. P.o n d I, <br /> Issued By - <br /> i <br /> �' Inspection By— — �i <br /> Datelnspected - <br /> � No. 2�269 <br /> SEE SKETGN ATTACHEG <br /> ,i. � �.Cl I� ' <br />