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� ��;�:� �. <br /> , <br />�'�: _ <br /> CHART N0. � _ . <br />� ( everett <br /> y,��� 1 <br />+Y�'+�i ' ' . � , <br /> � � / i.� aJ ( _ <br />{ . I �/�/'�J� ( . <br />� . � i �. <br /> i ,�:'! <br /> City of Everett - <br />�.�,.�� /' � <br />:`� <br /> �� �ewer Applieation and Permit ;u' <br />�.� <br /> I �� <br /> � ��" N0. 23296 DATE � ' � � I '.`e <br /> a' <br />�� _ <br />�'y crvice Address Utility Account No. <br /> ��� <br /> Billing Address Permit Fee <br /> City, State, Zip_ ;onnection Charge�s) _ <br /> Owner (Mortgagorl— Total �r,,,— _--------- ---_—._ _ .--- <br /> Billing Name _ <br /> Connection By __ <br /> Address _ Signed—,----_.—_, ---_--_-- <br /> c,��:,o���..,-- <br /> Phone __ <br /> DESCRIPTION: Se�vcr Dstrict <br /> Lot_ Block __ <br /> Plat Monthly Sewer Service <br /> Unplatted Description N1onihly Sewer Constr. <br /> - Trunic <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> _ N, S, E, W _ft. <br /> G,�POE,� o Fi. -- <br /> — Approved By <br /> c��v e,��������� <br /> Issued E3y i <br /> , �/ � <br /> Inspection By � ""�'� <br /> _ Da[e Inspected � —�� � <br /> SEE SKETCH ATTACHED IVO. 2�276 <br />