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_ <br /> everett CHART N0. P z9-zy-s' <br /> e � <br /> City of Everett i <br /> Sewer Application and Permit I <br /> � <br /> N0. 24979 DATE ��;��! d / I Z <br /> 0 <br /> � <br /> Service Address � � �' U[ility Account No. i m <br /> � J v�- <br /> Billing Address � Permit Fee !� � <br /> City, State, Zip-L�"�, 'Ga- . a _ Connection Charge(s) I � " <br /> �� I, �, _ <br /> Uwner (Mortgagor) / � Total Fee_� o m <br /> co <br /> Billing Name / ._.� � <br /> �,!J�� I �m <br /> Connection By = � <br /> m <br /> i � <br /> Address Signed 'f � 'c ` <br /> Customer , I � � <br /> Phone I <br /> -i v, <br /> K <br /> T <br /> DESCRIPTION: Sewer District i o � <br /> Lot Block_ �r^ <br /> Plat Monthly Sewer Service I m N <br /> 0 <br /> Unplatted Description Monthly Sewer Constr. � �m <br /> c �n <br /> N <br /> Type Permit: Trunk _ � <br /> �� <br /> • m <br /> i Lateral n <br /> i <br /> a <br /> Remarks: � <br /> i = <br /> Abutting Lot Line � Z <br /> N, S, E, W ft. �I � <br /> x <br /> � <br /> I N <br /> 2 <br /> O <br /> /' � / � <br /> APproved By_�� �� �+l�ri 1, " <br /> m <br /> _ Ciry Eng�neer �—�— ; <br /> - Issued By � �Sr�� I <br /> � � � <br /> Inspection By�� ( �n6p�mc ' <br /> Date Inspccted /- -'- - d� 5 j ' <br /> SEE SKETCH ATTACHED Np� 24979 ; <br /> I <br /> I <br /> . I'.'.i�t :_I I� 'I� � <br />