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everett <br />e <br />City of Everett <br />CHART NO.- <br />7 Z5 <br />�a <br />Sewer Application and Permit <br />No. 22834 <br />Service Address / l O <br />Billing Address <br />City, State, Zip r <br />Owner (Mortgagor) <br />Billing Name - <br />Connection By <br />Phone <br />DESCRIPTION <br />Lot ' Block <br />Plat <br />UnF.latted Description <br />Tvoe Permit: <br />DATE l - ' ' <br />SEE SKETCH ATTACHED <br />Utility Account No. i <br />Permit Fee_ /) <br />Connection Charge(s) l <br />i <br />Total Fee <br />Signed-'- <br />Customer <br />Sewer District_ <br />i 11 <br />Monthly Sewer Service -- <br />Monthly Sewer Constr. <br />INSPECTION <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By - <br />City Engineer <br />Issued B <br />Inspection By C " <br />Date Inspected_' ` �� <br />' 5L <br />No. 22834 <br />