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' CHART N0. - <br /> everett — — <br /> e �� <br /> City of Everett � <br /> S�wer Appl�eation c�nd Permit I <br /> N0. 2�174 DATE — ---- -- �_ <br /> Service Address __ _ Utility Account No. <br /> Billing Address— . � Permit Fee � <br /> : <br /> City, State, Zip _ Connection Chargels) _ <br /> Owncr (Mortgagor) To�,�l F���� <br /> Billing Name <br /> Connection By <br /> Addre55 _ _ Siynetl-- <br /> Cusinn,�.. _ . -- ._ . <br /> Phone <br /> DESCRIPTION: Sewer District_ <br /> Lot Block <br /> Plat _ Monthly Sewer Senacu_ _ __ <br /> Unplaued Description Monthly Sewer Consn. <br /> Type Permit: Trunk__ __ __ ___ <br /> Lateral <br /> Remarks: <br /> Abuttiiig Lot Line <br /> N, 5. [. 1'1_ fl. <br /> If -., __ . . - — <br /> G �; /� <br /> _ ni�������,�d t�v-- - -- -- <br /> Ciiy En9incrr <br /> Issued By _ <br /> — � �. <br /> -----_ _-- Inspection By cG���I �LCi�-�L ---- <br /> ''�� _ <br /> -- _ ----- ----- Date Inspected� -��`--�1�- --- --- <br /> SEE SKETCH ATTACHED i!p. 231,7L� <br />