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, <br /> � i �� .�, CHA�RS NO. L� �0�24 'S <br /> evere.1 `_,' i <br /> e - _ <br /> ���� �-� � <br /> City of Everett <br /> Sewer Application a�d Permit <br /> � I <br /> N0. Z3656 DATE '�. ,, , � / �-,(U <br /> Service Addresslt� ���-�-* ���� Utility Account No. <br /> J�J � �� 3 Permit Fee � � � <br /> Billing Address._�, -�-- <br /> City,State, Zip���r-�1-�'' ��_ :6-�� 1.�7.�Connection Charge(s) _ <br /> , p 6'� <br /> - 3 -� � <br /> Owner (Mortgagor) i%'f-�iL��. . ,x�<tt-'� Total Fee '�' <br /> BillingName � �-���.�� �• �9-� 1�RP.�+ 1 90�,00 <br /> Connection By <br /> / <br /> '%� <br /> Address_ Signed ✓' �/ �- � � <br /> � Cyalomer <br /> \ <br /> Phone <br /> �y �,,,c,/, � <br /> DESCRIPTION: Sewer District 1�-�'L>`C+•� <br /> Lo�� /r Blo�k� �, Y <br /> Plat L�c���i,.%�/ Monthl SewerService <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � <br /> Type Permit: <br /> � Lateral ` <br /> � H' L- <br /> Rem�arks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> APproved By�`���-,��^Gz�. <br /> _ � � CitY ngineei <br /> ��TtT^,.J..`}r . '� / .. /� � � AJV N`Y� <br /> . I$$UC(I By L <br /> :� ., <br /> Inspection By <br /> L r <br /> Date I nspected�� p U G - � g�n I <br /> SEE SKETCH ATTACHED No. 2365F I <br /> INSPECTION <br />