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J <br /> CHART N0. ' <br /> I everett i <br /> � � <br /> � e :- � ; : <br /> I t f S � <br /> 1 <br /> iCity of Everett : -• <br /> ; Engineering & Community Services � j <br /> � <br /> E Sewer Application and Permit : : � <br /> , <br /> r NO. Z24HQ . DATE �' T �' 7� i <br /> Service Address!"���� �"r/'" °`-;xc�� ��i��ty Account No. � <br /> / � � u � <br /> Biliing Address J �� �"'�"��==�=�'� Permit Fee .�' ��' <br /> ( y . �>/ `.��,. � <br /> �/_ ��M ' <br /> City,State, Zip ��--�f!- �f' i;tw • �f ,-:���nnection Chargels) <br /> � ' ,f % �' � i� <br /> Owner {Mortgagor) �f . ��� !��-,� -� " Total Fee r <br /> // �� <br /> Billing Name �' ' "���--� --�- <br /> ConnectionBy --''��f� ._� <br /> �._ <br /> Address Signed� � � <br /> � c� �. <br /> Phone-- -J � -= _ � .�G C� <br /> DESCRIPTION: Sewer District � <br /> Lot S � Block-�-�--��— <br /> Plat�'• ��� •_�. _ - ^1 (i:: �.^s,/"� - Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: L.�: � . �; i Trunk <br /> / Lateroi <br /> Remarks: . <br /> Abutting Lot Line <br /> — _ N. S, E. W ft. <br /> � <br /> Q <br /> � ' � � <br /> . Approved By"�" �SGt i�; c.�->�_._ <br /> , ary eoo�oee. <br /> C�� -�� � � � <br /> / <br /> - — ISsued By � ' `- =-`-��r <br /> I <br /> Inspection By <br /> � Datelnspect�d <br /> SEE SKETCH ATTACHED No. 2 2 4 8 4 <br /> INSPECTION { <br /> ,. <br />