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CHART NO.�1 " 2'q "5 <br /> everelt <br /> e �dss�u g- � - ad <br /> City of Everott <br /> ewer A plicatio� and Permit � <br /> 5 P <br /> No. 23453 <br /> DAT[ � �6� <br /> Service Address �7 �U gtrf'°t---'— Utility Account No. <br /> 162� Droabwl permit Fee�— <br /> Billing Address <br /> iwrett, �ta, 98201 Connection Chargels) <br /> City.State, Zip �p,00 <br /> pwner (Mortgagor) s � � ���� Total Fee — <br /> Billing Name <br /> D i A 11�uoaiates <br /> Connection By <br /> Sa�s <br /> Signed c�:�— pTef — <br /> Address�------- <br /> 25:!-1'66 <br /> Phone._.-- <br /> Sewer District <br /> DESCRIPTION: ��� <br /> Lot �10-- B�°ck — Monthly Sewer Service <br /> P�r�tt Di�. T <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Tk++ ��tion <br /> Lateral�_ <br /> Remarks: Abutting Lot Line Northand it. <br /> �-- N� S, E, W <br /> - g.xarren <br /> Approved By Ciry Engini.x <br /> E. Bond <br /> Issued By_�— <br /> �— �Inspection By==-1`� — <br /> Date I nspected � ���� <br /> SEE SKETCH ATTACHED N�• Z3�53 <br /> INSPECTION <br />