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evereft CHART N0.Y 1 �• ;,�i - S <br /> e (''� <br /> City of Everett 1 �—�� �- �_ "C,�1� <br /> CJ�.� <br /> Sewer Application and Permit � <br /> N0. 23610 � DATE 5/19/BO <br /> _� I P N� <br /> Service Address Utility Account No. <br /> Billing Address none <br /> Pennit Fee <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) none <br /> Total Fee <br /> Billing Name <br /> Connection By City of Lyerett <br /> Address Signed �Oq �iler <br /> Phone Cusromcr <br /> DESCRIPTION: <br /> Lot Sewer District <br /> Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: =ePair Trunk <br /> Lateral <br /> Remarks: <br /> / / � �� Abutting �ot Line <br /> ' J.r! ...fA� :✓ (6'. ' � . S. �/-, i . '�C.(/F-.ta./ <br /> � ",/.- ; r.� _ ,• � N, s, E, w rc. <br /> S. / -;� i.t� ,� <br /> � . �._ / f'/� < f <br /> BYXAdRfL[ H. Warien <br /> Appraved By <br /> City Engincer <br /> Iss��d By E• �nd <br /> Inspection By__� /� , i/� ; „ fj� <br /> Date Inspected — - i—,�' - }"�/' <br /> SEE SKETCH ATTACHED N0. Z361O <br /> INSPECTION <br />