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CHART NO. �^` ��_ _ <br /> evereri <br /> � <br /> City of Everett <br /> I <br /> Sewer Application and Permit <br /> Q i <br /> N0. Z3ZOa DATE / — i— _ . <br /> / , <br /> Service Address 3�� �� ' �" � /.�/ Utility 4ccount No. _ <br /> Billing Address Permit Fee __ <br /> City, S[ate, Zip Connection Charge(s) ___ <br /> Owner (Mortgagor) _ Total Fee __ <br /> Gilling Name _ _ . <br /> Connection By <br /> Address _ Signed _ <br /> c���i��:,., <br /> Phone — <br /> DFSCRIPTION: Sewer District_ _ — <br /> Lot Block <br /> Plat Mon!hly Sewer Ser�-i�_a __ _ ._ <br /> Unplatted Description_. Monthly Sewer Consu. <br /> Trunh <br /> Type Permit: - — . - — <br /> Lateral <br /> Remarks: <br /> Abuiting Lut Linc <br /> � fV. S, L=, lS�. _. _ . .. . _ ft. <br /> — � <br /> � ��ial� + ' c ' / ' '�/�' 7 � � F ' Y <br /> � �• , /_: 1 � // '� :7/, !'�. 1 ..�� r 1^ � <br /> � _ <br /> Approved By_ _ <br /> � i �. .�� r� i. — � r'.-T �. ,: i_�,�;��.,,,, <br /> ._��ir ./i �./' �-iC`�/ ? �����lII�M . , <br /> . iS;UCIJ Li'i_ " "_ ' __ ... . _._ _". _.____ _ <br /> l�r''c���A�Z� <br /> _ i <br /> — _.1 Inspectiun BY---- ---- —__— —�- --�- - -- <br /> __ Date Inspected_ � __ __ _ <br /> 5[E SKETCH ATTACHED No. 23209 <br />