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CHART NO. <br /> everett <br /> e <br /> s�;..- -� �,��,�>.,�� <br /> City of Everett ip�z 3��6 <br /> Sewer Appiication and Permit <br /> No. 25159 DATE �o?/ 5 <br /> Service Address q3 3 6 �� G/.trG � - Utility Account No. <br /> '3 � o � /;��� ' °' <br /> Billing Address � • ���' - Permit Fee j D <br /> City,State, Zip--���'�_,,.� L�� d� Connection Charge(s) <br /> !) ' n �yy� �✓ <br /> Owner (Mortgagor) G/��r,-c�./ /�l�.:_,�„__� Total Fee �� <br /> Billing Name <br /> Connection B 6�/N� ��. <br /> Address Signed_ ` `"' <br /> Cusmmcr <br /> Phone_ ��7-�y�� <br /> DESCRIPTION: Sewer District <br /> Lot _ Block <br /> Plat Monthly Sewer Service <br /> Unp;?tted Description/ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: — <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By _�_ <br /> C vCiry Engineer <br /> � Issued By � l .�G_�r� <br /> Inspection By_ � <br /> Datelnspected__ I <br /> ' i <br /> SEE SKETCH l�TTACHED NO. 25159 <br /> IivS?ECTION <br />