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eve:� CHART NO. !,�— � �Z-�� � } <br /> � �, �- J J //���7 <br /> ,��i�//� <br /> City of Everett � <br /> ! !� <br /> . . ,., � Z` `i <br /> Sewer Appl�cation and N�rr�it <br /> /; ` - <br /> No. 23252 DATE _ '/! ��f �, � <br /> Service Address J <� _--'�`� %'/-, / �;: Utility Account No. <br /> Biiling Address - � Permit Fee. <br /> City, State, Zip_ ' ' Connection Charge(sl <br /> Owner (Mortgagor) � � ;� To�al F-cc_______.__ <br /> Billing Name <br /> Connection py ! <br /> Address Signed <br /> cusro�nai <br /> Phone <br /> DESCRIPTION: Sewer Oistrict_____ _ <br /> Lot Block - <br /> Plat % Monthly Sewer Service_____ _ <br /> Unplatted Description Monthly Sewer Conitr. <br /> Type Permit: Tr�nk <br /> Lateral <br /> Remarks: <br /> Abuttiny Lot Line <br /> � N, S, E, W-- --- ft. <br /> c,�n o -r c�����,;�. <br /> Appraved By <br /> CIIV Enginr�•r '—_— <br /> �SSUCIj Q�_ _ "_"_ '_ <br /> Inspection By '2� �� <br /> — -- Date Inspected_---� - �,— <br /> SEE SKETCH ATTACHED NO. ZJc�GJ'E <br />