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�, CHARTNO.� 18 -29-5 <br /> ever�tt <br /> :. e �q� <br /> City of Everett ����� '`S U-��� <br /> Sewer Application ard Permit ,, <br /> NO. 236Ti DATE �n=� <br /> 1210 ll�tao�� <br /> � Service Address Utility Account No. <br /> Billing Address <br /> Permit Fee °O� <br /> City,State, 2ip Connection Charge�s) <br /> } Owner (Mortgagor) Total Fee �~ <br /> Billing Name <br /> Connection By <br /> Cltp of Mr�tt <br /> {, Signed �° � �llaz <br /> Address ca:con+e. <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> ��ir Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: � � <br /> / SJcjc� � C°^"-�- Abutting Lot Line <br /> y //�f7¢�lL—_��h"� IV� 3� E� W - ft. <br /> r <br /> �-J • P. <br /> / � � APProved By H. xarn� <br /> City EnB�neer <br /> E. 80f1d <br /> �SSUCd By <br /> Inspection By� �`��b�'� <br /> Date I nspected �^ S� P� <br /> SEE SKETCH ATTACHED N�• 23671 <br /> / INSPECTION <br />