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CHART N0.� � <br /> ,, •�t �v,� s-'�+-s-k+ � i.� `�,s <br /> I � S <br /> City of Everett ����� <br /> Sewer Application and Permit 6� �2 � <br /> , <br /> No. 23341 DATE �t���/; :�i"i <br /> Ci 4 � � <br /> Service Address pr,���l�r:,qccount No. <br /> Billing Address.i[�p a permit Fee_ �� <br /> City, State, Zip / Connection Charge(s) o <br /> �0�•— <br /> Owner (Mortgagor) Total Fee <br /> Billing Name_ i <br /> Connectian By __ <br /> Address Signed � <br /> ��a _ ��� � Cusromer <br /> Phone- <br /> DESCRIPTION: Sewer District <br /> Lot -- Block_t�� <br /> Plat ��r�, Mon[hly Sewer Service �Js�p <br /> Unplatted Description Monthly Sewer Constr. <br /> IType Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E. W _ ft. <br /> Approved By �� .� � <br /> Ciry Engmeer ; <br /> IIssued By _�` I <br /> � <br /> � _ <br /> i <br /> I Inspection By�� � �gq � <br /> ; c:J "v <br /> I Date Inspected_�'�' �1'� 1i`� � 9 $O <br /> SEE SKETCH ATTACHED No� 23341 <br /> I <br /> � INSP[CTION <br /> i <br />