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_ _-. -- � <br /> CHART NO.- q <br /> cvcrctt •, - , �� J•O � C "rs <br /> i • <br /> � e �S� �� <br /> I� z. - 2g .?f <br /> City of Everett <br /> Sevo�er Application and Permit <br /> NO. Z�LH 1 G DATE - ' ,�' — <br /> Service Address `/�, �'� — Utility Account No. <br /> IBilling Address Permit Fee � "-�` <br /> City, State, Zip Connection Chargels) <br /> ONner (Mortgagor) Total Fee - <br /> Billing Name <br /> Connection By <br /> � , i ' . . � � _ <br /> � , Signed <br /> �IAddress c�:�on,e. <br /> ' Phone <br /> DESCRIPTION: SeHer District <br /> Lot Block Manthly Sewer Service <br /> �' Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> l'ype Permit: <br /> Lateral <br /> Remarkr. ,� !� ' .�r �� 3� � Abutting Lot Line <br /> ', lfC cr- /S�� �i -a�- N, S. E, w ft. <br /> � <br /> APpraved By Cnv Engmen <br /> Issued By �� ' <br /> ' I�spection By • �'� �'v,��'"�'"°� <br /> Date Inspected �' � �' � 7� , � <br /> SEE SKETCH ATTACHED NO. ZZS76 '; <br /> i , ti <br /> INSPECTION l <br /> � <br /> �,:. <br />