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CH T NO. � � Zr S <br /> everett l / <br /> � f�Jl <br /> City of Everett ��� � � <br /> Sewer Application and Permit <br /> NO. 231QO DATE % ' % <br /> ,• � <br /> Service Address ' < � �- Utility Account No. % <br /> Billing Address ` ' � � � �- ` Permit Fee � <br /> Ciry, State, Zip � " � ' , Co�nection Charge(s) <br /> Owner (Mortgagor) Total Fee <br /> Billing Name � <br /> Connection By � <br /> Address `- : , ` - .-_ ' Signed <br /> Cusmmer <br /> � <br /> Phone <br /> DESCRIPTION: Sewer District ' �-� <br /> Lot � Block <br /> Monthly Sewer Service <br /> Plat ; <br /> Unplatted Descripcion Monthly Sewer Constr. <br /> Trunk � � <br /> Type Permit: �r___,, <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, W ft. <br /> Approved By � � ` � '- - <br /> Ciry Engincer <br /> /,. <br /> Issued By -- �- . '. i' , _ <br /> -i <br /> Inspection By � �'��7 �L �`T�� <br /> Datelnspected �� —�� _/ / ' <br /> SEE SKETCH ATTACHED NO. 23SOO <br /> INSPECTION � <br />