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CHART NO. <br /> � everett <br /> e ; __1 . <br /> City of Everett � <br /> i <br /> � <br /> Sewer Application and Permit � <br /> No. 23992 DATE � � _ <br /> , <br /> Serv'.e Address � � n� .���%*->�- ����-Htility Account No. <br /> --o <br /> Billing Address...£������i�—C�� Permit Fee n.� I i <br /> J �s�c <br /> City, State, Zip �.,..u�G1����O� Connection Charge(s) <br /> �. �--�-- <br /> Owner (Mortgagor) ���«J�y,d%:' Total Fee � � <br /> Billing Name <br /> �yr �f c � � <br /> Connection BY-t'rl!-ri�oaa r��.nr�t� C� ,,- ., , `\ I{ <br /> � � � <br /> \.'�`=d`.'!7 `�� lS: _. 1. , _,�� <br /> Address Signed <br /> Cus�omer <br /> Phone -2 S/`�=9� �� <br /> � DESCRIPTION: �� Sewer District � <br /> I Lot__ Block�L ' ' � <br /> Plat -- ' : i i.'.f-.%c ��;�-�• � Monthly Sewer Service I <br /> i <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � <br /> Type Permit� � <br /> 0 <br /> Laterai <br /> Remarks: i <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> � <br /> ��,L� ��u,�..i� _ ..o ai� � I <br /> /' ,� /: ; <br /> � � Approved By�,/• ✓I- ���� <br /> N✓ ]? - — � Ci� Engine`er � <br /> I <br /> � � Issued By �� /1 '-�+-�% I <br /> rr Cti ���` (.' � <br /> � <br /> _ Inspection By I � <br /> Datelnspected I <br /> SEE SKETCH ATTACHED N0. 239JZ j <br /> INSPECTION � <br />