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: ! CHkRT NO. — <br /> ►' � /� � i <br /> i everett <br /> � % <br /> ' ( � I' <br /> � I - <br /> � �i <br /> City Af Everett <br /> '�i �ewer Appl�cution and Permit �I <br /> i <br /> i� I No. 24952 DATE L��— �. <br /> �� Utility Accou;it No. �' <br /> Service Address_�- � d p m <br /> � �- �Q ---- I <br />, ' Billing Address_�� Permit Fee I � <br />� I q , �'�' Conrecticn Charge�s) -- �, � <br /> � City, State, Zip___��� v— � ,,, m <br /> a <br />� � Owner (Mortgagor) � 7otal Fee �1L_ � c <br /> i m o <br />� � --i c <br /> Biliing Name � I � m <br /> � � � , � - x -Z-i <br />� �i Connection By ' �=C--- ''��� � m ,� <br /> i .� z <br /> � Address � Signed__ c�:iom�� I � _ <br />� i G�trrv-c-� � R - ��'.7� i �. .� <br />� Phone — ` N <br />' � 5� - �'6� ' " <br /> DESCRIPTION: Sewer District "' a <br /> //� -i m' <br /> I Lot �), Block� � Nlonthly Sewer Service — r^ �, <br /> Pla <br /> t ��� - li or <br /> Unplatted Descri tion Nlonthly Sewer Constr. �N <br /> m <br /> I J Trunk_ — � � m <br /> � Type Permit: "i l � n <br /> Lateral � <br /> � <br /> i z <br /> Remarks: Abutting Lot Line I z <br /> N S E W ft. � --i <br /> I = <br /> � <br /> z <br /> I o <br /> � � <br /> i � ���� � � <br /> i _ Approved By� m <br /> nv nsinccr <br /> � Issued dy � ��r`� ^-a" �� <br /> � <br /> � Inspection By ��'�`��"'" `- I <br /> II ___ Date Inspected_—° "5"�Y <br /> ISEE SKETCH ATTACHED No. 24952 <br /> I <br /> I <br />