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1 <br />� <br /> everett CNART NO.�!t]Z�"2g-5- �•- <br /> � ' � � ' <br /> ��STt'� q w � . <br /> 7 2��?�� � �" u � <br /> City of Everett /� � � Z � ; <br /> �/.7 Q � . I <br /> N O F , ; I <br /> Sewer Application and Permit ; '� - ��-; <br /> � ._; <br /> .. �- , � <br /> n,o. 23�12���� D TE _ i <br /> Sarvice Address _ _ _ ^ _ Utility Account No. I <br /> I <br /> Billiny Address-�0 Permit Fee�;,, �_ _ � <br /> City, State, Zip_ Connection Charge�s) _ _ <br /> Owner (Mortgagor) Total Fee i <br /> I <br /> Billing Name _ i <br /> Connection By �_� ' <br /> �y-� �f� � t <br /> Address Signrd „�jtl /C�e%E?7.�,�`-' I <br /> Customer i <br /> Phone_ � <br /> DESCRIPTION: Sewer District _ <br /> Lot Block <br /> Piat Monthly Sewer Service � ` <br /> � <br /> Un latted Descri tion � ' <br /> P P Monthly Sewer Constr. � <br /> Type Permit: �-,�,��„� QEp Trunk � <br /> E <br /> Lateral i <br /> Remarks: s�w�e sunu oc ir:srEct�u. rcr,Mir sicnrn nr�n n� • � � <br /> � ,� � � . nucuo�� ete�,n vema io riutii cer,s:r,ur.nar. Abutting Lot Line . <br /> �:� �..��„ ,� N, S, E, W fL <br /> cF r c � . _ . . .. . . . . : . . <br /> tiITC N'ITfi CO�ISiFUi,11PY�PERCI� 1"; .i�•�� r,�•�. " '��c .0 � � . , <br /> ,. .. . . . P. . i�'� fi"'.L CnrC;iKUCiI�..'I, I <br /> . �n� b: '.'.i:iPp�,LU Ali� (10 � j �j� � <br /> C!.��il�jrr....���/;.� fi�Ca �� , / V " /'..� 1 <br /> :� <br /> ,�J Approved By <br /> S/�IJ�JP .d-,S—��J�`�i, CitV Engineer 4 <br /> � � Issued By_ �_Gt��l�xX � ` <br /> � � <br /> f <br /> �%�i'1/iE' /sC.�/ � ` .. <br /> Inspection ��]'�/lN�� � <br /> Date Inspected y / { <br /> SEE SKETCH ATTACHED No. 232i2 <br /> CUSTOM[R COPY , <br /> � <br /> �._ <br />