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' CHART NO. <br /> everett <br /> e � <br /> City of Everett ' �j1`���J <br /> �li v <br /> � r� i D <br /> Sewer Application and Permit ' °^ <br /> N0. 24790 DATE —���� <br /> Service Address_/"30z ��KC� �v� Utility Account No... <br /> Billing Address � Permit Fee <br /> City,State, Zip l ' ' � Connection Charge(s) <br /> Owner (Mortgagor) � - �' ' � ' ' l ' '�� ' '- Total Fee � <br /> � <br /> Billing Name i %� — '� " <br /> / <br /> Connection Byf " � `_- � <br /> � : <br /> Address / - " " ' ' Signed y Customer <br /> Phone " � � `I <br /> DESCRIPTION: Sewer District <br /> Lot -3 y nBl�o �� Monthly Sewer Service <br /> Plat /`��� ar�� -Ccey� � /.,�� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type i'ermit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> Approved By � ' - <br /> Ciry Engineer � <br /> ! � <br /> Issued By <br /> Inspection By <br /> '3 — /Y• ey <br /> Date Inspected ��y� �G 6 �N^"— _ <br /> SEE SKETCH ATTACHED N0. Z479O <br /> INSPECTION ! <br />