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� <br />' . <br /> CHART NO. <br /> I <br /> everetY � <br /> , <br /> � { n�-.� �� <br /> ` I <br /> City of Everett -, ,- (� I <br /> '� � � <br /> Sewer ApplieQt��ry and Permit � <br /> i <br /> � <br /> No. 24486 DATE . i <br /> Utility Account No. � <br /> Service Address _ _ Tee I <br /> Permit Fee_��- <br /> Billing Address _ venue <br /> � Connection Chargel�) I <br /> City,State, Zip <br /> Total Fee <br /> pwner (Mortgaycr) � - "' , <br /> I <br /> Billing Name me I <br /> Connection By B�e I <br /> Signed I <br /> AddfE55 OYe Customer <br /> I <br /> Phone _ � � <br /> Sewer District � <br /> DESCRIPTIO�I: <br /> Lot Block�- Monthly Sewer Service <br /> Plat I <br /> Unplatted Description Monthly Sewer Constr. �i <br /> � t t <br /> Trunk i <br /> Type Permit: '� <br /> ap o Lateral I <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> n i <br /> 2 I <br /> Approved By „c.r <br /> � cnv I <br /> Issued By_-T,- i <br /> ) I <br /> � li <br /> � <br /> Inspection By I <br /> ' Date Inspected � <br /> rvo. 24486 � <br /> SEE SKETCH ATTACHED � <br /> � <br /> INSPC-CTION I <br />