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CHAR I NO. "� � G' �^` <br />ewerett <br />e <br />City of Everett <br />Sewer App�ication and Permit <br />NO. Z4 1 61 DATE ,�� ��ST Y l� <br />3J / � ���� Utility Account No. <br />Service Address 3� <br />Billing <br />City, S' <br />Owner <br />Billing Nam <br />Connection <br />Phone o2.�9— S/0 / <br />DESCRIPTION: <br />Lot �'�_ Bloc �3�/�� <br />PI�:�-St—"� �Tl• /tT - <br />Unplatted Description <br />Tvoe Permit: <br />Permit Fee � — <br />Connection Chargels) <br />� �i <br />Total Fee <br />, • <br />Signed- ' <br />/ Customer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />SEE SKETCH ATTACHED <br />� <br />� <br />INSPECTION <br />Approved By �' �' f'���� <br />City Engineer <br />{ 7 <br />Issued By� �- <br />I nspection <br />Date Inspected <br />No. 24761 <br />