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_ � .� � � <br /> . ', � - ' CHART NO. � `� � - <br /> fVP�C-Kr ; � � .. <br /> e �- �=� <br /> � u; , <br /> I/� /j �� <br /> City of Everett � <br /> '�p�✓�r Appl�cation and Permit , <br /> No. 23242 DATE ------- I_ _ -- - <br /> Service Address� ' /�:, ' ' "'�!'��� Utility Account No. <br /> Billing Address � Permit Fee <br /> City, State, Zip Connection Charge�s) <br /> Owner �Mortgagor) Total f-ee _ -- — <br /> Billiny Name <br /> Connection By !� , ! �(� . <br /> -- <br /> Siqned_._-- -- - - -� --- <br /> Address - �.,�.��,;�,,,� <br /> Phone ---- - <br /> DESCRIPTION: Siv✓er Distrir.t_ __ -- --- <br /> Lot Block Monthly Sewer Service_ .___ _ <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk ____ <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Ln; Line <br /> N, S, E. lN_ -_ _- _ - - - --(t. <br /> (� ' -I <br /> �a���xoved 13v . <br /> I o �o J ✓c le c,�v e��g�„��•� — <br /> Issued By -- -- <br /> Inspection By—%� � <br /> J Datcln,pectcd � � � 74 C <br /> SEE SI<ETCH ATTACHED Nu. 23242 <br /> ill'.I�i ( �I �U'., <br />