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r <br /> _ � <br /> r <br /> '1 <br /> r � <br /> CHART N0. � �7 `��� <br /> everetl <br /> e <br /> � �;� of Everett 1 <br /> Sewer Application and Permit <br /> N0. Z�6ZO DATE �0°..1_�„� F' IZ—IS—Bj <br /> Service Address 3 a0 / �1 Utility Account No. <br /> Billing Address 0 � permit Fee <br /> 3� � <br /> �t .�y <br /> City,State, Zip (ni..t,wG/ �. 9 . U Connection Chargels) O <br /> Owner (Mortgagor�� _ �� al Fee � <br /> D ` <br /> Billing Na �J <br /> �'fi <br /> Connection By ;� ---:- <br /> "'_, j /. <br /> Address Signed ' "� � �•' � `� f <br /> cu:lomcr <br /> Phone 33�- =.== ��6 3 <br /> DESCRIPTION: Sewer District <br /> Lat Biock <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �j I <br /> Lateral <br /> Remarks: I <br /> Abu[ting Lot Line � <br /> N, $, E, W ft. i <br /> ii <br /> I <br /> I <br /> Approved By I <br /> Gry Enpi^eer <br /> I <br /> Issued 8y _ � <br /> � <br /> L Inspection Bv , <br /> Datelnspected � < <br /> SEE SKETCH ATTACHED N0. Z4fi20 <br /> INSPECTION � <br /> �' J <br />