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1 <br />evereft <br />�e <br />City of Everett <br />Sewer Application and Permit <br />NO. 23`2O7 <br />DATE ' <br />CHART N0. _� � %- Z�'S <br />to.�; ���, <br />7-!7 - � s <br />�_ �� � <br />IService Address —"'� Utility Account No. <br />Billing Address Permit Fee <br />i <br />City, State, Zip ' ' Connection Chargels) <br />Owner (Mortgago� �,-!i� ��/`�� Total Fee <br />I Billing Name <br />i <br />� <br />Connection By _ <br />� Adoress <br />I <br />� Phone <br />� <br />DESCRIPTION: <br />' Lot � , ' <br />Plat <br />Unplatted Descr <br />i Type Permit <br />Block � <br />Signed <br />SEESKETCH ATTACHEU <br />i i�:;'f [ i i, �,; <br />Sewer Distric[ <br />Mcnthly Sewer Service. <br />Monthly Sewer Constr. <br />Trwik <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By <br />Ciry Engineer <br />I ssu ed <br />' <br />Inspection By <br />�ate I nspected �% � i � —% � � <br />No. 23207 <br />