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_ ;a ; — <br /> CHART N0�'._.�.' " ��� ' <br /> everett <br /> � r' <br /> �;.:`,_ <br /> t�,K- <br /> City of Everett � <br /> I <br /> Sewer Application and Permit <br /> N0. 23ZSO DATE ---__—_ <br /> Service Address�� Utility ,account No. <br /> Billing Address Permit Fee •� s� <br /> City, State, Zip Con�ection Charge(s) <br /> ' � � <br /> Owner (Niortgagor) Total Fee ___— <br /> Billing Name � _ <br /> ,"_ <br /> Cor� � .., r _ r <br /> : - <br /> Address Signed � _ ___ �l__—�—_�___ <br /> , c���.���„��� <br /> Phone <br /> DESCRIPTION: Sewer District___ _ _ _— <br /> �t�� � Bl tk <br /> Lo ;��y� � la l�� Monthly Sewer Servicc_ _ _ _ _- _ _____ <br /> Plat ��� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type P r it: --- -- -- <br /> ' Lateral_ __ <br /> Remarks: � <br /> Abutting Lot Line <br /> N, S, L=, lV—.__ — ---ft. <br /> Approved By '�i� �/ .>_�_c�,�<�- <br /> ��pngmeer <br /> — 't� �/ . <br /> L. `i <br /> -- Issued Bv-- ---"�c" � �'t ' <br /> , � <br /> Inspec[ion By—______ <br /> Date Inspected —_— <br /> SEE SKETCH ATTACHED NO. G3Z�7O <br /> R�SPL-CTION <br />