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CHART N0. —� - � � -a-� -- 5 <br /> everett <br /> e -� ��, . . �� . � � <br /> � � <br /> City of Everett <br /> 1 � <br /> Sewer Application and Permit <br /> NO. 2323� DATE �i 1 � .,=����- <br /> z /� � ,�; <br /> Service Address���s,2�'�' tility Account No. <br /> Billing Address " Permit Fee � �6 _ <br /> City, State, Zip. ` iJ Cunnection Charge�s) <br /> , �� ` .�� 5=°-- <br /> Owner (Mortgagor)�� ���� Total Fee__« _ <br /> Billing Name _��%�. <br /> Connection By - <br /> Address _ Siyned <br /> Customr.r <br /> Phone � y -- <br /> DESCRIPTION: Lq ' Sewer District — <br /> Lot-t(L_d%2 � ,z- Black�— <br /> L Monthly Sewer Service <br /> Plat �?,L-4��_. <br /> Unplatted Description Monthly Sewer Constr. <br /> a Trunk <br /> TyNe Permit: C¢ .� P <br /> Lateral <br /> Remarks: �� N�;�� � I I— Fj <br /> Abutting Lot Line <br /> � � , _ N, g, E, W ft i <br /> J� . �!N <br /> ,� �-, Approved By <br /> Cily Engmeer <br /> — Issued �y <br /> I <br /> Inspecti�n By— <br /> _ Date Inspected — i <br /> SEE SKETCH ATTACHED N�� 23231 I <br /> INSPFCI IOIJ � <br />