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CHART N0. <br /> everett I <br /> � <br /> City of Everett <br /> S�v,�er ,A;pplication and Permit <br /> IJO. 252(;J DATE — 0/T G/� '� <br /> �[�..¢� � <br /> �/ �' /I ' Utility Account No. <br /> Servi•.e Address t ✓ /� Oi-� <br /> � <br /> � ' __..Permit Fee � <br /> Billing Address � 1�Y'�"� _....—�--__---- <br /> Ir/�� ��� _ Connection Chargels) <br /> City,State, Zip_.YX� / o�' <br /> � �_y�.�u-�p �otal Fee � y �j <br /> pwner (Mortgag� � /'1 �-, � <br /> �Gn' ,�' � � <br /> .v�( �C?�"l�,:=v�+ __ , `� � <br /> � Billing Name - � <br /> I ,�•�/ li�i,- '� � <br /> Connection By / � <br /> �, " . _ i <br /> � _ SiyllCd � �usiomcr � <br /> Address -"� <br /> 33�- � //� H <br /> z <br /> Phone � <br /> Sewer District_ � � <br /> DESCRIPTI ON: <br /> Lot_--- B�ock Monthly SeNerService p � <br /> �7 � <br /> Plat illonthly Sewer Constr. <br /> Unplatted Description_ � y <br /> Trunk � � <br /> iTYPQ PQ Lateral I U' <br /> I � <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W � <br /> I � <br /> I � <br /> _ Approved BY �i�y Engineer p <br /> I � <br /> t� <br /> Issued BY l -- <br /> , � Cy_ � <br /> i Inspection By � <br /> i i <br /> IDatelnspected g ' 1�'Q�� I <br /> ' — No. 25223 � <br /> 5[E SKETCH ATTACHF.D <br /> � INSPLCTION �I <br /> � _ <br />