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CHART N0. ' � � - '- - <br /> everett � <br /> �<< � <br /> e �_�� _ g Z . <br /> � � <br /> City of Everett � <br /> Sewer A�plication and Permit <br /> 4�9��2 I <br /> N0. 24245 DATE i <br /> 1601 Pine Utility Account No. <br /> Service Address <br /> Permit Fee $�' Nona <br /> Billing Address �� <br /> Connection Charge(s) � <br /> City, State, Zip hoRQ <br /> Total Fee � <br /> Owner (Mortgagor) , <br /> II <br /> Billing Name <br /> City of Everett j <br /> Connection By � <br /> �on tdillor <br /> Signed '� <br /> Address Customer � <br /> Phone <br /> DESCRIPTION: Sewer District I <br /> ILot Block Monthly Sewer Service <br /> I Plat I <br /> Unplatted Description Monthly Sewer Constr. <br /> " � Trunk <br /> � Type Permit: repair <br /> °, I I Lateral <br /> I <br /> � � Remarks: <br /> Abutting Lot Line <br /> N S E W ft. <br /> � � 1 r ��i, r �f- ' - �� <br /> ;, <br /> � , .J � � I�,�< �,.' - � � <br /> / ; . , i�:_ �, f� ��• I <br /> � � Il.R. Tleeal I <br /> I Approved BY City Engineer ' <br /> � <br /> I F. IIond <br /> Issucd By <br /> � <br /> � <br /> %� r%/:.. . ; , „ f,f=— <br /> Inspec.;on By � <br /> Datelnspected � " � ` � <br /> i <br /> SEE SKETCH ATTACHED N�• Z4245 , <br /> I <br /> INSPEr7I0N i <br /> \ <br />