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� <br /> � CHART N0._ <br /> Ievereri I <br /> i � <br /> I � <br /> � <br /> ,_ I City of Everett I <br /> Sewpr Application and Permit <br /> N0. 2432!� DATE � �� }(� ��- ` n ' i ; I <br /> Service Address -�/� v<�_..o��'c-...e �c�a�;4 Utility Account No. ���� 7/� ' .3 <br /> Billing Address �ul L. S � l�u`G«-'"�°�')F.-E�L� Permit Fee �3U G�G" <br /> � ��,� <br /> Ciry,State, Zip �!X tE-� �(�/� �1�01�7� Connection Chargels) --� 7� ' � <br /> I <br /> / (�J � <br /> Owner (Mortgagor����_�.�'�c:,>. �7i!i.��-� Total Fee 3L'--' <br /> BillingName ���..�'���-��[' I <br /> � � <br /> Connection By� � C�-... n . __ � I <br /> i` j <br /> Address Signed� � � � - �j <br /> Customcr <br /> Phone �.j��-f��1��, I <br /> DESCRIPTION: Sewer District �uh.G� � � <br /> Lot �7�� _ Bloc•i<- ,Y=- <br /> �� Monthly Sewer Service �� <br /> Plat�..i C.a.--��c,. — . <br /> Unplatted Description Monthly Sewer Constr. <br /> ,s .., <br /> Trunk �r"'- �-,77D <br /> Type Permir. f�,e�) C_crn-.�c, �-'i'��� <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line i <br /> N, S, E, W _ft. ' <br /> _ , <br /> � <br /> �7 i <br /> Approved Ry �—�.I� � ��L�'�C� . ' <br /> Ciry Eng�ne^r I <br /> �S�U@(� By\<-� /�-/.-r �l..� . : r i._.� � i <br /> (/ � <br /> � I <br /> I � �� � � - <br /> Inspection By v �- ��'�� i <br /> I � <br /> — _ Date I nspected�'�`�- � � <br /> SEE SKETCH ATTACHED NO. �Q329 <br /> I <br /> INS{'l[�1!l;l� ! <br />