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� <br /> i CHART N0. <br /> � \ <br /> Ieverett <br /> I � <br /> � <br /> I City of Everett <br /> � <br /> � Sewer Applica�ion and Permit <br /> N0. Z461O DATE �/�/P 3 <br /> Service Address � � Utility Account No. 0 I <br /> �^ <br /> � � � Permit Fee � � <br /> Billing Address p <br /> City,State, Zip �� �> �o �� � Connection Chargels) I <br /> /� ��-- <br /> pwner (Mortgagor) � <br /> �,:.,.,�.c� Total Fee <br /> Billing Name ��0--�-���'�L ��' ' <br /> v <br /> Connectian By. <br /> Signed c��:�om�� I <br /> Address �,/ I <br /> Phone ��`'�— o � 3 / <br /> Sewer District <br /> DESCRIPTION: � [,/t,� i <br /> Lot�� B�O� �—�-`�— Monthly Sewer Service I <br /> Plat� ` � <br /> Unplatted Uescription Monthly Sewer Constr. I <br /> Trunk � <br /> Type Permit: Lateral I <br /> I <br /> I <br /> liemarks: Abuttinn Lot Line ft. I <br /> N, S, E, W <br /> I <br /> i <br /> - . � � <br /> qpproved By_ � I <br /> Ciry Enginccr <br /> ISSUClj B�' � � <br /> tP� <br /> W�'_� ���/C 7 j0✓� <br /> _ In�, e ion ey Na ��''S�'�c - <br /> i Da I ns ted_�' "" ' "3 <br /> � NO. �Q61O <br /> SEE SKETCH ATTACHED <br /> �OSTFU c'�`•— D <br /> INSPECI'iGN � <br /> L <br />