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CHART <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. Z4Z9•T DATE � i/ f-�,C' � � <br />i <br />Service Address �9���`'� ��-�=%'��`"�5.���-�. Utility Account No. <br />Billing Address /y"N'�-e'" — Permit Fee <br />City, State, ZiP �,i"e/'�� ,��' y��;� 3 Connection Chargel <br />Owner IMortgagor)� �c- _�'����� Total Fee <br />Billing Name — <br />Connection <br />DESCRIPTION: <br />Lot <br />Plat <br />Unp <br />Signed <br />Sewer Distric <br />�, <br />SEE SKETCH ATTACHED <br />INSP[CTION <br />�� ;cJ' ,CFr' i . _�-, _ <br />� �-�-'�'- <br />/tJ � <br />s) <br />o� <br />�c� ' <br />. <br />Monthly Sewer <br />Monthiy Sswer Constr. <br />Lateral_ <br />Abut[ing Lot Line <br />N, S, E, N' <br />Approved By �� f �'G-'f` <br />City Engineer <br />? /7/� � <br />IssuedBy % �-����� <br />Inspection <br />Date I <br />No. 242g7 <br />H !- <br />H '- <br />H � <br />ci � <br />�� <br />�� <br />� <br />�� <br />H F <br />�C <br />Ot <br />r <br />K <br />� • <br />( <br />c � <br />i <br />�� <br />