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CHART N0. ��C' �"^ �� <br /> everett <br /> r...c�s f-�_;` <br /> e � � � � <br /> City of Everett `"� <br /> Sewer Application and Permit <br /> No. 22932 DATE �` � ' � — <br /> Service Address��'��l r,7� -% '-: � Utility Account No. <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total F�e_____ — <br /> Billing Name <br /> - ._--. <br /> Connection By <br /> Address Signcd--- — -- <br /> c������„�•, <br /> Phone — <br /> DESCRIPTION: Sevoer District ___ _--__ <br /> Lot Block <br /> Monthly Sewer Service ___— — <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk _ <br /> Type Permit: <br /> Lateral <br /> Remarks: � �L S ,f ��,�, b� <br /> butting Lot Line <br /> .S � -.w �o ��1�v/J �-' .��� .Sr s�/ /f1, f� l�.f' N, S, E. W---- ft. <br /> — : <br /> o_�LG <br /> �— Approved By <br /> Ciiy Enpinecr <br /> �SSIIC(� gY ___ <br /> — liisp�ction By�iL�(���—t-�-�=�"G.1�—_ <br /> Date I nspected <br /> SEE SKETCH ATTACHED N0. ��J3Z <br /> II�lSf-'f:C I IOiJ <br />