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CHART N0. <br /> evereQt I <br /> �i �-z� -b � <br /> ���777 , <br /> City of E��erett � <br /> Sev✓er Application and Permit <br /> No. 2A�C�39 DATE K .ts�7T22,-]9<^1 <br /> Service Addrr.ss ttn� unvr — Utility Account No. — <br /> Billing Address Permit Fee��o;;� — <br /> City, State, Zip Connection Charge(s) — <br /> Owner (Mortgagor�_ Total Fee F��� <br /> Billing Name fTTv nG rvrr>�rr <br /> Connection By ��,.�T�{��#7' <br /> Address Signed_ <br /> us omer <br /> Phone <br /> I <br /> DESCRIPTION: Sewer District <br /> i� <br /> � Lot — Blo�:k Monthly Sewer Service <br /> �. <br /> Plat <br /> � _.Monthl Sewer Constr. <br /> �; Unplatted Description 1' <br /> ;. � <br /> Trunk — <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line I� <br /> N S E, W_ ft. ' <br /> � I <br /> /�, , GGY� 4'-� c.C� G� <br /> a� — Approved By Ai TIIFAI <br /> � (:ity Engincer <br /> `` �` �� � Issued By <br /> 1 I <br /> Inspection By���� ��''� — <br /> �Datelnspected 7' � 3 � o ( <br /> SEE SKETCH ATTP,CHED N�• 24OJ 7 i <br /> IIJSPECTION i <br /> � <br />