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f <br /> —, <br /> � ,� - <br /> � CHART NO. �� � ' -' <br /> everett <br /> e <br /> i— City of Everett <br /> Sewer Application and Permit <br /> rvo. 24479 oATE s�zs�s3 Pvst�._� f�' ��-s—� �; <br /> 2024 Rock�fellar <br /> Service Address Utility Account No. <br /> Billing Address <br /> Permit Fee N6ae <br /> City, State, Zip Connection Chargels) <br /> Non� <br /> Owner (�lortgagor) Total Fee <br /> Billing Name <br /> Connection By City o! Everutt <br /> Don Miller <br /> Addres� Signed <br /> cu:tome� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthiy Sewer Constr. <br /> Trunk <br /> Type Permit: Repair <br /> Lateral _ <br /> Remarks: � f� ..-��_/ ' � , � ,� _, , . - <br /> - Abutting Lot Line <br /> .. � .. . i ri '— �.r.. : �. �r-si N, $, E, W ft. <br /> .�_�l/ '/ / 1 <br /> i <br /> ..;x �. i ' i./ , <br /> �— A. R. Thael <br /> Appraved By <br /> City Engincer <br /> S. Dond <br /> issued By . <br /> I L _.. <br /> . I nspection By � - ' �� /��^ '''� /, <br /> I <br /> Date I nspected l � ' �� <br /> SEE SKETCH ATTACHED N�• 24479 <br /> INSPEC110N � <br /> � _ <br />