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1 <br /> CHART N0. <br /> everett . <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 2Z81,3 DATE �L�,// � <br /> Service Address ' �� �� J ��lity Account No. <br /> 8illing Address � �(� - � � •' ��� � Permit Fee_ �� <br /> City,State, Zip' � / " � Connection Charge(s) <br /> Owner (Mortgagor) ' � - Total Fee_ '_ <br /> � <br /> Billing Name <br /> Connection By ' - ' <br /> Address 1�� � ' '`�� Signed <br /> c� �„�� ._ . <br /> Phone r � u c . . - <br /> DESCRIPTION: Sewer District <br /> Lot � ;' Block � ��� <br /> Plat �� j • � .� Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. , <br /> Type Permit:; � Trunk II <br /> ` �� Lateral <br /> Remarks: ' <br /> Abutting Lot Line <br /> N, S, E. W ft <br /> .. ,. <br /> Approved By - <br /> c��v eoa��e� <br /> Issued BY -- �' . <br /> Inspection By <br /> � Oate Inspected <br /> SEE SKETCH ATTACHED N0. �ai� <br /> INSPECTION <br /> ::Y;�. <br />