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CHART N0. � �S�Z�--'� <br /> � everet4 �� <br /> e �- ��_� � <br /> City of Everett �_ <br /> � Sewer Application and Permitt <br /> N0. 231,2� DATE �;�` �1 i� — <br /> Service Address ' � - f Utility Account No. <br /> �---•- <br /> Billing Address �' � � -Permit Fee > " <br /> City, State, Zip �� i Connection CI-�arge�s) — <br /> Owner (Mortgagor) Tot. , Fee - ' <br /> Billing Name_ %� <br /> Connection By ---- <br /> ,address Signed <br /> Customer <br /> Phone ' � <br /> DESCRIPTION: Sewer District <br /> Lo[ �% Block � � :� <br /> Monthly Sewer Service ' <br /> Plat %= <br /> Unplatted Description Monthly Sewer Constr. <br /> - Trunk <br /> Type Permit: — <br /> Lateral <br /> Remarks: Abutting Lot Line � <br /> N, S, E, W ft. � <br /> Approved By�" ' --�' � <br /> Ciry Engineer <br /> Issued By " � <br /> Inspection By � `ta"� �`�^'� <br /> i p� <br /> ' Date Inspected �� ` �! - ' 7 . <br /> � <br /> SEE SKETCH ATTACNED NO. Z31ZO <br /> INSPFCTII)N I <br />