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.` <br /> CHART NO. <br /> � everett <br /> �/ 1/ OS l E� <br /> _, <br /> City of Everett (� _ �-3 _ CJ '� <br /> O <br /> Sewer Applicatio�n and Permit �— <br /> ; <br /> No. 24344 DATE ��t����_}�C}?—_— I <br /> � <br /> Service Address�t Utility Account No. ! <br /> I <br /> Billing Address��e�.},� Permit Fee _.� I <br /> City, State, Zip�y����g� _ Connection Charge�s) Ii <br /> Owner (Mortgagor) Total Fee_�� <br /> Billing Name �, <br /> Connection By�. �,�a_��ep — <br /> Address �am r..a.,,,� Signed <br /> Cus�omer <br /> Phone ��•�,.T*� �G9g_�5'_1 <br /> iDESCRIPTION: Sewer District f <br /> Lot���� Block�;�- Nionthly Sewer Service � <br /> Plat _�„y.� � <br /> Unplatted Desc�iption Monthly Sewer Constr. �I <br /> Trunk <br /> Type Permit: ' <br /> Lateral ! <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> - —��� � <br /> — Approeed Dy�.r <br /> � i incer <br /> Issued By <br /> . V � <br /> I <br /> I <br /> � <br /> Inspection By <br /> �I Da:e Inspected_ � <br /> — ; <br /> ; SEE SKETCH ATTACHED No. 24344 ' <br /> I � <br /> i IN$P[`CTI•.`'!F� � i <br /> i <br />