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_ ' t <br />� <br /> E ► <br />, <br /> I <br /> i <br /> I <br /> I <br />� ; <br />� CHAR7 N0. •� - - >_ , <br /> everett �j r\ j <br /> i � I� LS IJ L7 � L� LS U I <br /> , G�C1G i983 � <br /> , City of Everett I � <br /> ..................._...__._.............. <br /> � cirY or EVERET" <br /> Sewer Ap�lication and`�eriiz�� �� ; <br /> � <br /> N0. 24 f O�I DATE ���f 5��.3 �f�S{�cI �B. �.'.-/� -B � I� <br /> i <br /> Service Address�'� D � ` �""t� - ��' Utility Account No. I <br /> �r /� o�. <br /> Billing Address -��a �"`� �- Permit Fee_ �0 i <br /> City, State, Zip � � C ��/ Connection Charge(s)_ o �I <br /> i- <br /> � Owner (Mortgagorl � � Total Fee �(1 — I <br /> i <br /> � Billing Name ' <br /> I _���� ; <br /> I Connection By <br /> IAddress " Signed • . <br /> icu:tomer <br /> Phone ��� ���� � <br /> DESCRIPTION: Sewer District �i <br /> i.ot Block I <br /> Mon[hly Sewer Service <br /> i Plat <br /> Unplatted pescription Monthly Sewer Constr. I <br /> I —. Trunk <br /> Type Permit: _yc� <br /> - Lateral ��, <br /> I <br /> Remarks: � <br /> y rt bu[tin� Lot Line I <br /> 2Xts-�in � Gonc( P�e. ferv�cwe N, S, E, W ft. i <br /> �r �� wp.-�c��, ci e �'''i.n �Ou � ', <br /> �1 ' r � ' <br /> uti2/ rP n �a.c�� ,'4-� `fI �I <br /> � 1 � �� �g'1�2�- ,.f.� � i <br /> .� t� r t � S a�� � � 1 Approve�� IY <br /> O.� �Q�A�L � Cw�-�'[ �nk�tl vt�d-f. Ci�YEr:y.ncr i <br /> , �Issued By�. _ 1/� i <br /> ii <br /> • Inspection By � � l ` a��/�'� I --� <br /> __ Date Inspected �'� � `� �'f� i <br /> I SEE SKETCH ATTACHED N0. ZY7O4 I, <br /> R�SP[=CTION i ' <br />