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CH?,RT NO._ <br /> everett <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 24863 DATE �5���/O�� <br /> Service Address��2 ���p�J Utility Account No._ _ <br /> Billing Address �p ���/� � - u�- Permit Fee_ � �� <br /> _.��,.�:,� ��a os_ <br /> City, State, 2ip - -�< - Connection Charge�s) i <br /> Owner (Mortgagor) L�/-� - .�r�r�,..�,.�� _ Total Fee � �— <br /> � Billing Name <br /> Connection By <br /> Address Signed ' <br /> Customer <br /> Phone y��—��� <br /> I <br /> � DESCRIPTION: Sewer District � <br /> Lot i��� ?� �k � <br /> Flat .� Monthly Sewer Service � <br /> � �� ~ <br /> IUnplatted Description Monthly Sewer Constr. � <br /> iType Permit: Trunk _ <br /> I Lateral <br /> H 1— <br /> Remarks: `3 � <br /> Abutting Lot Line � x <br /> N, S, E, W_ ft. I r <br /> � <br /> r- <br /> � I 6c <br /> I {j'Ouse own ! <br /> n�o 'Tv,� er�ow /y ��/�7 � � � � <br /> APProved By`'� -✓ l ' ��r�tyJ_ <br /> Gry Engin er ' � '— <br /> Issued By �` � �� � F <br /> '�'-('�-�3`f � �, <br /> o Y. <br /> �: <br /> I � �� <br /> � �,� <br /> Inspection By � <br /> F. <br /> � : <br /> Date Inspected <br /> , r <br /> SEE SKETCH ATTACHED NO. 248fi3 I � � <br /> INSP[CTION <br /> � <br />