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evereft CHART N0. <br /> e �J� _ <br /> i� � -r - S�' i , <br /> City of Everett ' <br /> L,J� <br /> Sewer Applic���ion and Permit <br /> N0. `4124 DATE 1����Al <br /> ServiceAddress5021 S�a6nrst <br /> Utility Account No. <br /> Billing Address „one ' <br /> Permit Fee <br /> Ciry,State, Zip Conner,tion Chargels) <br /> Owner (Mortgagor) Total Fee �O°� I <br /> Billing Name <br /> Connection By City of Rt�r�tt <br /> Address Don Mill�r <br /> Signed <br /> Phone c�:m�„�. <br /> DESCRIPTION: <br /> Lot Sewer District <br /> Block <br /> Plat Monthly Sewer Service_ <br /> Unplatted Description Monthly Sewer Constr, I <br />� Type Permit: R�p�ir Trunk I <br /> Lateral <br /> Remarks: <br /> � �� ��,� �(' . Abutting Lot Line <br /> l :/'. C' ( /r i, , . , . r N, S, E, W <br /> w:- , i/ i r�/.i � .- �r� 5 . / ft. <br /> • l L. / <br /> /��. �Y <br /> — C .., /G �-'. � <br /> ,/'. �., :�/ /i�r. �� : .,.., <br /> �_ <br /> •_.i�.. �/C: /-. "i/r » <br /> � Approved By �' R. Thsal <br /> � ' ��_ Ci!y Engineer <br /> � <br /> Issued �y x• $ond <br /> Inspection By �-f� !� %�/� ; � � i /f"" <br /> - Date Inspected //- - '"- � / <br /> SEE SK[TCH ATTACHED N0. ���Za I <br /> i _ INSPECTION � <br /> _ �„ <br /> I <br />