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_ � - <br /> J CHART N0. <br /> I evereri + <br /> e � <br /> -- City of Everett <br /> i <br /> Sewer Application and Permit <br /> No. 24339 DATE ��t ��,n�,� �_��-�,__, �:F: � - _ �_H-� <br /> Service Address nnn i�rnni r�}��y�y 3�t Utility Account No. <br /> Billin Address s�a cr r�cerrr ��"��y - Permit Fee — <br /> 9 —�a--o�z�G, � <br /> City,State, Zip.�y��,�ri,�,_gg�gq Connection Chargels)—��{� <br /> I Owner (Mortgagor) u+iia� u,.�,.e Total Fee ��-g� - <br /> I Billing Name� � <br /> I � <br /> Connection By��,�-- i <br /> P.ddress Signed ` i <br /> . 'Cuimmcr � <br /> Phone 3.r5 4qq� � <br /> I DESCRIPTION: Srwer District <br /> Lot�— Black Monthly Sewer Service_ <br /> Plat �— <br /> Unplatted Description _Monthly Sewer Constr. <br /> — Trunk�T5 —��t?lq � <br /> Type Permit: u� . <br /> �0nrtee��eR--- Lateral <br /> Nemarks: Abutting Lot Line I� <br /> N, S, E, W ft. <br /> i <br /> I <br /> I <br /> Approved BY_� � i I <br /> I <br /> issued By nne rannan I <br /> � <br /> I <br /> � � " �i <br /> Inspection By � ''� ��� �� <br /> � I � I - <br /> i <br /> '- j _ Date Inspected�G'��' �� <br /> SEE SICETCH ATTACHED N� 24339 � <br /> ws���n io�.� II <br /> I� _ - <br />