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r � <br /> "tr <br /> r <br /> � <br /> r <br /> CHART NO. — <br /> � everett <br /> I <br /> I � � ' <br /> � City of Everett <br /> � <br /> Sewer Application anc� F`errrsit <br /> � I <br /> No. 24346 DATE ��,� � }g3� <br /> II Service Address » > i �$�h SCt'eet . Utility Account ^Jo. I <br /> � <br /> I BillingAddress ;a,, PermrtFee an �n <br /> i City,State, Zip��,.���{�!�gg�,g} Connection Charge�s) ,I <br /> iOwner (Mortgagor) c.,,.e.,_.,., n..«.� ;.... r„F_ n�a� Total Fee �g.,nn � <br /> i <br /> iBilling Nam� "�� 1 <br /> I Connection By !x '• i <br /> ' � I <br /> � � ' � <br /> I Addres_ �}}} - :e.�, c«...,..��__ Signed�_ 'i; . <br /> cu:tomcr i <br /> I Phone �59 7}.}fi — � � <br /> � <br /> DESCRIPTION: Sewer Di,trict �'i <br /> Lot__ Bloc';�— ry�onthly Sewer Service_ <br /> Plat <br /> � <br /> Unplatted Descripnon Monthly Sewer Constr. <br /> I <br /> — Trunk <br /> Type Permit: <br /> ' Lateral <br /> Remarks: ' <br /> Abutting Lot Line <br /> I ���i i )�C� N, g E, NI ft. <br /> --� -���--- <br /> i .— , �� <br /> ! -- � Approved By �� <br /> Gry ngmeer <br /> � , <br /> I � Issued Ry • <br /> , <br /> —_ � __7'_�� � <br /> J.[��� __ � <br /> —�- Inspection By � <br /> �- � ' J <br /> Datelnspect ' <br /> I <br /> SEE SKETCH ATTACHED No. 24346 � <br /> i <br /> INSP[CTION I <br /> L' '-� <br />` � <br /> d <br />� _ _ <br />