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everett <br />� <br />City of Everett <br />CHART NO. I= .. '(, �'�,�� <br />� �� <br />�l'"3 �"�� <br />� � <br />5ewer Application and Pe�mit <br />No. 23264 DATE � %� ! ' <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />DESCRIPTION: <br />Lot B <br />Plat <br />Unplatted Description_ <br />Tvpe Permit: <br />� Utility Account No. <br />, <br />Permit Fee <br />Connection Charqe( <br />Total Fee <br />r <br />Signed � <br />Customer <br />SBWBf �IStfICi <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />��� . ir;��i�i;��ri��:! <br />�butting Lot Line <br />N, S, E, N.�, <br />�pproved By " <br />City Engineer <br />>sued <br />u <br />nspection By . � � � ;? ��_� <br />iate Inspected �- �f�� <br />No. 23264 <br />