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! CHART N0. <br /> I <br /> everetl <br /> e <br /> City of Everett , <br /> Sewer Application and Permit � <br /> NO. 24836 � � � ��, �D' ATE �a�l � J <br /> �`..r�.� V�� �„ J �.. . <br /> �1 �� � Utility Account No. � I <br /> Service Address ��--� I <br /> � `7 � Permit Fee � <br /> Billing Address I <br /> , . �90Connection Chargels) � <br /> City, State, Zip h �— <br /> Total Fee �� I <br /> pwner (PJlortgagor) <br /> Billing Name I <br /> Connection By <br /> $igned c�s�ome� <br /> Address_ I <br /> Phone_. --. <br /> �� Q _ ay3/ _ <br /> Sewer District I <br /> DESCRIPTION: �_ <br /> Lot�� —a Block� Monthly Sewer Service !i <br /> Plat " - — '��" y ' i � <br /> Monthly Sewer Constr. � <br /> Unplatted Description I <br /> Trunk <br /> � <br /> Type Permit: — Lateral <br /> I H � <br /> y .r <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W � � � <br /> i�� � � � <br /> a�' � � � <br /> � s <br /> � � � � <br /> �/ > APProved By..�' �� ' � ., <br /> � r Ciry En9inecr � `. <br /> '/}� � Issued By� � U <br /> I O s' <br /> ,i .,� r, <br /> ' � Fi <br /> I �� <br /> Inspection BY ��� <br /> I � �, <br /> Date Inspected ! �" <br /> No. 24836 �� ,` <br /> SEE SKETCH ATTACHED • � <br /> INSPECTIUI� I L <br /> F <br /> � <br /> c <br /> r <br />