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. , <br /> �) /� ,�..� + CHART NO.� �� - � � � �y� <br /> everett I y .� �/ �' t) �� - �(� �„prJ <br /> ,: . . ' usr�Pp <br /> e � a�s��, <br /> wc�. <br /> Ci:•/ of Everett <br /> Sewer Application and Permit <br /> No. 23152 DATE /'�� / � � <br /> �,r� .� � , <br /> Service Addresslsl�.� � �` �`e' ' Utility Account No.. <br /> Billing Address " � <br /> ( ��` Permit Fee � ' � <br /> , .-. ,� Connection Charge(s) <br /> City,State, 2ip _ ' " <br /> , <br /> � Ovmer (Mortgagor) ` ' ` Total Fee � � <br /> Billirig Name <br /> � <br /> Conrrection By <br /> '��- �� Signed <br /> �., .; Address c�:,o�� <br /> •, �'� <br /> , <br /> '';'"`�4"� i~s4: Phone ' <br /> , r;t�,-.n''t �rr.,;�,�,- � . <br /> " '� ` i ��,N" Sewer District � ' `," <br /> , 7 n .'�': DESCRIPTION: , . <br /> ' ` ' ' Lot Block - <br /> _;; Monthly Sewer Service <br /> ` � ° ` '�% Plat <br /> '" ' Unplatted Description Monthly Sewer Constr. <br /> I '_ Trunk <br /> ' Type Permit: <br /> ! Lateral - <br /> � � / i'J <br /> Remarlcs: Abutting Lot Line <br /> N S E W R. <br /> APi�roved By �_.� f�� ' . <br /> Q �O O J�� V City Eriq neer. <br /> t <br /> � Issued By ' • ��' - <br /> — Inspection By <br /> Date I nspected �� 1 � '� <br /> SEE SKETCH ATTACHED No. 23152 <br /> INSPECTION <br />