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everett � L���� � ivv. � ,�. <br /> � - . . ' • . <br /> /�9�� :. <br /> City of Everett ������ �_^ `� <br /> ��� <br /> Sewer Application and Permit � <br /> No. 23593 DATt 5�80 <br /> ServiceAddress ��� ��' -E� /�/� ,�, T— <br /> � .�-y Utility Account No. <br /> Billing Address._//y ( <br /> Permit Fee n0� <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) aa�e <br /> Total Fee_ <br /> Billing Name <br /> Connection gy �� °� ��tt <br /> Address Txiu Hl.11er <br /> Signed <br /> PhO�e Cus�omer <br /> DESCRIPTION: <br /> � Lot_�_ Block Sev�er District <br /> Plat ' Monthly Sewer Servics._ <br /> Unplatted Description <br /> Monthly Sewer Constr. <br /> Type Permit: gQpa� Trunk <br /> Remarks: <br /> Lateral <br /> Abutting Lot Line <br /> ' N, S, E, W ft. <br /> - �/// APProvec! By a• �az'zen <br /> ���� •/ �� S / �� Cily Engincer <br /> — F J2L• �y— � <br /> ' /V. �c / ' � J,_/ � Issued By E• Boad � <br /> i-:`=� ' / _ S , , <br /> � � � ��� ,�. � /G', � � .� � <br /> �`- ._.� / � <br /> Inspection By�-�-l/ — "'�r • � r y.0 <br /> Date Inspected 'r= ..: �� .Q� <br /> SEE SKETCH ATTqCFIED N� 2�es�• <br /> J <br /> iNSPecrioN <br /> __ _ .--- . <br /> �' . . _._ .._ ._ _ _ _ _ - - --- <br />