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everen <br />�e� <br />City of Everett <br />Sewer Application and Permit <br />No. 22831 <br />Service <br />Billing Address --- <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address_ _ <br />Phone__ _ <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description_ <br />Type Permit: <br />Remarks: <br />DATE 1 _ ii . <br />CHART NO. <br />?.STe Z:�' <br />I-z 3-?q <br />Utility Account No. <br />Permit Fee <br />Connection Charae( <br />Total Fee <br />Sign <br />oeo <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 />— Approved ey <br />CAW Engineer <br />SEE SKETCH ATTACHED <br />INSPECTION <br />I ssu l'd <br />��Iel <br />InSpeCtlOn B i <br />Date InspectedZ�� <br />No. 22831 <br />i -1 <br />