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CHART NJ. <br /> Ieverett <br /> � G�,,'�� �v <br /> City of Everett �v'�L� <br /> � f� <br /> ti �_ ` <br /> Sewer Application and Permit <br /> N0. 24161 DATE <br /> 'L�. ��Y <br /> ��� 7 �� r�e�./ �,,,,r. Utility Account No. <br /> Service Address��- i � <br /> � Permit Fee <br /> Billing Address " <br /> �'��� � ��?O I Connection Charge(s) <br /> City,State, ZipT— , � / �� `�% <br /> .a�-� Total Fee <br /> Owner (Mortgagor) ° <br /> Billing Name <br /> Connection BY <br /> $igned a:�ome� <br /> Address <br /> Phone <br /> Sewer District <br /> DES RIPTI N: �_ <br /> Lot v � Block��� MonthlySewerService <br /> � i <br /> Plat Monthly Sewer Constr. <br /> Unplatted Description <br /> Trunk <br /> Type Permit: Latera� <br /> � � o��� <br /> Remarks: Abutting Lot Line ft. <br /> �� N, S, E, W <br /> /lii %p� <br /> APpfoVO(1 BY ����E�g��eer <br /> Issued BY�'�`��� <br /> �-- <br /> +��+ 3 � <br /> �+�� � <br /> .--�— N 0. � 61 <br /> SEE SKETCH ATTACHED <br /> I INSPECTION <br /> I � _ , <br />