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. . , �;, <br /> CHART NO. ' <br /> everett <br /> � �',�-�'� <br /> i � <br /> City of Everett . , �i �� — � � <br /> S�v✓er Application a,�d �e�rnit � <br /> � <br /> N0. Z��O�L DATE - - — — — — . .— <br /> Service Address Utility Account No. <br /> Billing Address . Permit Fee -- <br /> City, State, Zip Connection Charge�s) <br /> Owner (Mortgagor) - - l otal Fee_ ._ - -- ----- — <br /> Billing Name — <br /> Connection By — <br /> Address_ Signed —________—___. <br /> Customur <br /> Phone_ — <br /> DESCRIPTIO�J: Sewer District___ _ — <br /> Lot Block <br /> Monthly Sewer Sen�ice _ <br /> Plat <br /> Unplatted Description Monthly Sewer Com,u. <br /> Trunk _ __- ----- <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Linc <br /> N, S, P, �'•'_ . . --it. <br /> � I� <br /> — i <br /> Approved E3Y— <br /> � �Ci c7�'��' �� c����.��.���� ,� <br /> F�c,,�r� �� ��,v�z � �� P�P. <br /> iss���,d �,% - -_ _ <br /> I <br /> -- -- --- i <br /> ; <br /> �nspecuo�, By—_ ` <br /> �S _ 7_ 7�i� c �� <br /> �Datelnspected --- -- - - <br /> SEE SKETCH ATTACHED No. 23�'�? <br /> . <br />