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CNART N0. <br /> s eV� y ,. <br /> � <br /> � w . . .. <br /> -.' '-', �t E/,;.., : <br /> r- �j _ <br /> � <br /> . , tic <br /> ti� c�_c �o ,;;.;, <br /> Ci�!y of Everett !Ifl <br /> • . • ; _ i� .i :i �� ��� � ���', <br /> $�wer Application and Permit <br /> NO. Z4126 DATE _�� <br /> Utility Account No. �Y <br /> Service Address , <br /> Permit Fee_�� <br /> Billing Address <br /> O Connection Charge(s) � <br /> City,St3te, Zip <br /> i Total Fee �� <br /> Owner (Mortgagor)�• <br /> % � . <br /> Billing�ame � <br /> / i <br /> Connection By <br /> � �� `-'�I�� <br /> Address � �1v'r� � � Signed ��io�„o, <br /> Phone� ��/ � <br /> Se.ver District <br /> DESCRIPTIO : � <br /> Lot Blo Monthly Sewer Service ----- <br /> Plat��" Monthly Sewer Constr. <br /> Unplatted �escript 'n <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W <br /> Approved By ' '1� <br /> `Ci EnB��ecr <br /> -_� <br /> ISSUCd B�/ <br /> �— Inspection By_�� , <br /> Datelnspected�. <br /> No. 24126 <br /> SEE SKETCH ATTACHED <br /> � . <br /> INSPECTION <br />