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evereH CHART NO. f�/G- ��i' - S <br /> I <br /> e � <br /> City of Everett � <br /> Sewer Application and Permit <br /> No. 23373 DATE ;, , <br /> Service Address_11 �4� � Utility Account No. <br /> Billing Address ' ' �,�j�" <br /> Permit Fee__f <br /> City, State, Zip � �' Connection Charge(s) <br /> Owner (Mortgagor) ' + Total Fee_ � 5�---- <br /> Billing Name <br /> Connection By I <br /> Address Signed i'i'� <br /> Ph0�0- �.��j /' �/�/�-- Customer � �, <br /> �Ca--{ T <br /> DESCRI PTION: <br /> ��V/ --� _ Sewer District <br /> �y Block_��_ <br /> Plat.�� ,,,(J� Y �j Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Consir. I <br /> Type Permit: _ Trunk I <br /> Lateral <br /> Remarks: � � \� , , �1_ —}— I <br /> ..J-S.�il I <br /> I - � Abutting Lot Line , <br /> N, S, E, W I <br /> '- — �G 7 y� . a tc. <br /> � ,� l � I <br /> — �!-�a2 �PProvedBy _J/� I <br /> Ci�y Engineer � <br /> �j �1�SPG�'�a Issued By <br /> = �. I <br /> -�.�St� � _ � � <br /> `� �; � <br /> c - � �. �1�:t-Q._'��t C <br /> �^ � P�, Inspection By J � � 7 �.- � <br /> , <br /> Date I nspe�te�� -- <br /> SEE SKETCH ATTACHED �✓ N�� n�� <br /> L 73 <br /> INSPECTIOIv <br />