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CHART N0. <br /> � <br /> Ieverett 'I <br /> I � ; , / i <br /> i <br /> I fr ; <br /> City of Everett � � '� "� l��; �- <br /> - � I <br /> Sewer �►pplication and Perrr�it : . ;, <br /> ���%'� - ' <br /> � No. 24�23 DAT � <br /> . , <br /> I � ` Utility Account No. �� I <br /> (v <br /> Service Address permit Fee '' <br /> � <br /> Billing Address '� <br /> � � Connection Chargels) <br /> City, State, Zip Total Fee <br /> 0 � <br /> I pWner (Mortgagorl J I <br /> I <br /> � gilling Name I <br /> � <br /> �I - I <br /> Connection BY Si9�ed I <br /> Cus�omer <br /> �I Address <br /> (�S3- � ssd �� <br /> I Phone ' <br /> gewer District I <br /> I DESCRIPTION: �� q � � <br /> 3 � Block�--� Monthly Sewer Service <br /> �ot� � /��d` �- �., <br /> i Plat� Monthly Sewer Constr. r: <br /> Unplatted Description Trunk �� <br /> I <br /> II 7ype Permit: Lateral� , <br /> i � � <br /> ,� r <br /> ! Lot Line {t, �� � � <br /> � — Abutting � "-, <br /> I Remarks: N, S, E, W �I � r- <br /> I I � <br /> li � f <br /> ' _ � � %, o- � ; <br /> rovea av ' <br /> 11 APP C�tV Engineer I C ' <br /> I I y <br /> i C = <br /> �z I � _� <br /> i — �Ss�ea sv ' ; .: , <br /> c <br /> � I! � ' <br /> •- � A �� . � <br /> � <br /> Inspection BY � i <br /> 1 <br /> I�� Date Inspected i/� -�� —�— � <br /> � No. 24923 '� � � � <br /> I'I SEE SKETCH ATTACHED <br /> ' INSPECiIc�r, � <br /> i <br /> � — <br />