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� <br />r <br />� <br />everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24517 <br />DATE � <br />CHART <br />�5�41,'.`�-.r: CAP-C�t�F <br />T�ic ��ce �e�:�.r: �•:•�;. �F I <br />�a,:.,, , . . ; � �, ,:.�:.-:,, , <br />To �... . �� r;u;;.o. i <br />,�, �. <br />IF:, � . . . _ . <br />lit 1��2 :i: t, i�J HG . <br />H�P.E.�I:ALL,2'rJ�:s'dl��t`vii IN-- <br />SPtCTIOM. <br />,�--,�-s <br />t�� ;�,.�-�°_� <br />Service Address %�Z'� -/'ll1-�L(/ �7` Utility Account No. <br />Billing Address��G <-j 1�C �� Permit Fee 2 S V <br />c �� <br />City,State,Zip��IjL��1�/7� GL�fH �Z�� Connection <br />Owner (Mortgagor� ��- r/ � / J�1/�.�GSF{�otal Fee_ <br />Billing Name���C�/�� �r/%����1� <br />Connection By��Jz- ,�= ���/�y� <br />5 O <br />Address ��/� U ��C �� Signed <br />'" p Customcr <br />Phone � ` 2-�T� <br />DESCRIPTION� �/ <br />Lot � Block_S-_��d� _/ <br />Plat��k=� 1-1 �,/!/ <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer Dist <br />Monthly Sewer Service <br />Manthly Sewer Constr. <br />Trunk <br />Lateral <br />Abut[ing Lot Line <br />N, S, E, W <br />Approved By <br />Issued Bv — <br />Ciry Engineci <br />i <br />� <br />� :. <br />_../. <br />_ ,> ���/ / <br />Inspection By � �-O,`1 � <br />Da nspected���`�63 <br />No. 24517 <br />� <br />