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� <br /> r <br /> ' CHART NO. <br /> everett <br /> e <br /> City of Everett PQ S� � ( <br /> �- lb - g� <br /> 5ewer Application and Permit <br /> NO. 24Z86 DATE �,/��� ' <br /> Service Address %' � ��L��1�.tL;,.� l�- Utility Account No._ � <br /> j �^� <br /> Billing Address Z � � � ��/�-h�e�" Permit Fee ��'� <br /> � / <br /> City, State, Zip ^ ��-r-��� ��/d�/� ����� � Connection Charge�s) <br /> �� <br /> Owner (Mortgagor)��� �'1 � �- Total Fee � �' <br /> Billing Name ��d�T-�� <br /> Connection By <br /> Address Signed f ' � <br /> Customer j <br /> Phone <br />� DESCRIPTIOfV: Sewer District <br /> Lot �� "" ✓ lock y� . Ulonthly Sewer Service <br /> Plat `' .�i��-� ��=�l�-cL <br />, Unplatted escrlption Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � �%-J� � �<� ,.,,: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N S E W ft. <br /> Approved By �� ����'v �� <br /> City Engineer <br /> C� <br /> Issued By � , % ���"�'�r�� <br /> — - � <br /> Inspection By ���/ , - � <br /> - � �/ ��- �— <br /> Date Inspected " - I <br /> SEE SKETCH ATTACHED N0. Z4Z�6 � ; <br /> INSPECTION <br />