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r' .� <br /> r '� <br /> everen ,�o�y <br /> CHART NO. _� % � ' =y-.� <br /> � ���a' �� <br /> � <br /> , <br /> �r City Of Everett <br /> Sewer Application and Permit <br /> NO. Z4664 DATE �J��L�J�/ 'Q`� '�=`�"','c! CL' ;1 ? l�r3; <br /> ' /� 0 7—�� �� �'`..�- <br /> Senrice Address Utility Account No. <br /> Billing Address � l Permit Fee .�.Sd <br /> ' Ciry,State, 2ip� O Connection Charge�s) <br /> j Owner (Mortgagor) ` Total Fee � � <br /> i <br /> � Billing Name <br /> iConnection By, � � - �� � <br /> j Address �0 � - �_�Y� Signed <br /> � �� . � �/� - ��Q'� cmwmer <br /> Phone ���f•G�7 ('�v` <br /> S/ / <br /> I DESCRIPTION: �� Sewer District <br /> � Lot ,/�. �k �i 7/ <br /> ip�at ��,..�� Monthly Sewer Service <br /> � <br /> � Unplatted Description Monthly Sewer Constr. <br /> i Type Permit: Trunk <br /> ' � Lateral <br /> ;I Remarks: <br /> Abutting Lot Line <br /> + N, S, E, W n, <br /> , <br /> J <br /> , <br /> �� APPraved BY� ' ��Q''�..'I <br /> C�ry Enpiww <br /> ' Issued By- �_�..�i�c..�`" <br /> � � <br /> � I Inspection By J <br /> Date Inspected /�/Y- �j <br /> ( <br /> i SEE SKETCH ATTACHED NO. Z46� <br /> � <br /> � INSPECTION � <br /> � J <br />