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� CHAHT NO.��� '� �`� <br /> everPtt �!i � r� � � �i,; 15 i� <br /> �� �. lg'� <br /> PdAY I2 jO80 {�S'��� <br /> ,........ <br /> �- �. <br /> City of Everett ( , ; ,-' � 7. � ..., �i <br /> ��� ���f <br /> � . ., �:; <br /> Sewer Application and Permit <br /> �;� <br /> No. 23603 DATE �: i'•�/' >i(J I <br /> �� / / <br /> Service Address,�n //<� � � �•_- -1 P:"~ Utility Account No. <br /> r.�- <br /> BillingAddress //7 �"=-���iT_ PermitFee �n _ <br /> ��ti � �� <br /> City, State, Zip i���'a! ��n:'d Connection Charge�s) _ ._L <br /> , � �� /` ��C �-- <br /> Owner (Mortgagor) � �- ' � �• -�4t-�<— Total Fee <br /> 3illing Name � � <br /> _-/ �— � <br /> Connection By� /.� • /'�-,•=�- -•= �-� — <br /> Address��j 2 �' ^��t�� �---r -✓ •�" ^1 Siyned <br /> • - cusmmer <br /> r � <br /> Phone ��- �1� �/ ,� '7�l(m ::�'s�_ <br /> DcSCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service_ <br /> Unplatted Description?% l�� �"i '�7�' ''�J %'�2 �?='bs' Monthly Sewer Constr. <br /> , / <br /> -� %7 ��� _n %/ t �J��/ /C�� � / 7 ic-.� .��i'. <br /> � C� � � _ .` Trunk <br /> TXpe Permit: - ��y--- � ,E l�iji•,\ <br /> j���,ti- -�_ � Lateral _ <br /> Remarl<s: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br />�I Approved By <br />��I _ Cily Engineer <br /> il <br />,I Issued Eiy <br /> d <br /> Inspection By�� '�J �_�'— <br /> Date Inspected (c'- �C� - 0 U <br /> SEE SKETCH ATl'ACHED N0. 236�� <br /> I�JSPEC1101d <br />