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CHART N0. 1' -'.`� ''� - <br /> everett <br /> � a <br /> � s�w y�L�/go <br /> City of Everett <br /> Sewer ApplicatiAn and Permit ; � <br /> No. 23459 DATE „/T,//���,P�a � <br /> Service Address �� �� �37� Utility P.ccount vo. <br /> Silling Address � -✓ Permit Fee_ .-� � __ <br /> C/ �o/ <br /> City, State, Zip Connection Charge(s) <br /> Owner (Mortgagor) � �/ Tot�l Fee _�`_ �- __ ___ <br /> Biliing Name '—� <br /> Connection By_,�s�i�r�E��� _ <br /> ? <br /> Addre � .��' Siuned <br /> / — �^i12 Y'�t'c�o `'�� Cu;iOmc� <br /> Phone�L� -��71 / <br /> DESCRIPTION: Sewer District <br /> Lot B ck �� <br /> Plat� �L���� Monthly Sewer Service <br /> Unp ted Description Monthly Sewer Constr. <br /> Type Permit: � Trunk <br /> Lateral <br /> Remarks: <br /> � Abutting Lot Line <br /> _ - O"C� ! � N, S, F, W _ ft. <br /> ,-� � .� <br /> r ' <br /> y �1 ` � • <br /> r <br /> Approved By_ �� <br /> Ciry 6� <br /> ISSUe(� By <br /> :..� <br /> �,.: . <br /> Inspection By <br /> ___ Date Inspected <br /> SEE SKETCH ATTACHED No. 23459 <br /> iidt-�i�i.-I:TIGYI �. <br />