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everett <br />e <br />City of Everett <br />Sewer Applicction and Permit <br />No. 25271 <br />DATE <br />Service Address � 5�� C'�� S <br />Bitling Address �� � � ���� <br />City, State, ZipC. (/i° h�° ji ��—(dA ,Z��tJ/ <br />Owner �Mortgagor�%/i'�'1 �(vF�� <br />Billing Name(�`�_ y - � � <br />Connection <br />Phone <br />DESCRIPTION: � <br />Lot ��' B ock 5 S <br />Plat — � �— <br />Unplatted Description <br />Utility Account N <br />Permit <br />� O(l <br />Connection Charge(s) <br />Total Fee �v �U <br />Signed <br />c�„�om <br />Sewer District _ <br />Monthly Sewer Service. <br />_ Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Il::,r%ECTII.�h: <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />/� !' <br />Approved By`� � �%���-- <br />iry Engmcer <br />Issued By � �� �_���/ <br />� <br />Inspection��4��'/»"" — <br />Datel�spected ��" �"`� ~ <br />Na. 25271 <br />z <br />0 <br />� <br />� <br />m <br />., ... <br />-i T <br />..� <br />cn x <br />m <br />co <br />m o <br />� <br />-i c <br />o m <br />-i z <br />x -i <br />m <br />.o i <br />n -i <br />rx <br />.. .. <br />—1 N <br />< <br />T <br />O A <br />T � <br />—I m <br />m� <br />� <br />o r <br />C N <br />;� <br />m <br />z� <br />-i r <br />• m <br />n <br />� <br />-� <br />x <br />a <br />z <br />� <br />x <br />N <br />2 <br />O <br />--I <br />C'f <br />m <br />