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@V@f4i� <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 23185 <br />DATE <br />CHART N0. L 3 2—'P 9- s <br />� <br />7-'�`-�.�� <br />�.. <br />Service Address y� d� ��%' -��ility Accoun[ No. <br />Billing Address _ Permit Fee <br />i <br />City, State, Zip Connection Chargels) <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descript <br />Type Permit: <br />Block <br />Sign <br />SEESKETCH ATTACHED <br />iNSPECTION <br />Sewcr District <br />Mon[hly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved B <br />Issued Ey <br />Inspeciion By `�� `�'�� � � <br />Date I nspected 7 � � � - � <br />No. 231�5 <br />