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CHART NO. K- �il-Z�� -'� � <br /> everett <br /> e <br /> City of Everett �STv✓ �Cj'�� <br /> Sewer Application and Permit � � <br /> N0. 2316H DATE << � <br /> Service Address 7 . � f�Tr��-�.:� ,�/� Utility Account No. <br /> Billing Address � � - Permit Fee <br /> City,State, Zip ti' � � Connectiun Charge�s) <br /> Owner (Mortgagor) ���a.� Total Fee i <br /> ,> <br /> BillingName �%�...._e .. � <br /> Connection By � -r.+-�' I <br /> Address Signed <br /> Customer <br /> Phone �3- � 3:7L <br /> DE''i R I PTI ON: Sewer District <br /> Lot 3 - �� Block <br /> Plat ��r -' ' � � Monthly Sewer Service <br /> Unplatted Des�iption Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> � Lateral _ <br /> Remarks: � <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> / <br /> al. <br /> 1 q� �— /t„� Approved By <br /> � {�' Ciry Engmcer <br /> ------�� ' Issued By % � <br /> , <br /> � � � I <br /> � � <br /> � <br /> I <br /> —T � � / V Inspection By <br /> i <br /> _ Datelnspected � <br /> SEE SKETCH ATTACHED N0. ��165 �' <br /> If <br /> �; <br /> INSPEC i lUN �� <br /> �� <br />