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everett <br />� <br />City of Everett <br />Sewer Appiication and Permit <br />No. 23312 <br />Service <br />Bii�ing , <br />City, S� <br />Owner <br />Billing <br />r <br />, <br />DATE ����L,'%7 <br />� <br />Connection By � �, � - <br />Phone ��5 - �2'9 9 <br />DES <br />Lot <br />Plat <br />Unp <br />CHART NO._P�` �0' �C'" � <br />Utility Account No. <br />Permit Fee � � <br />Connection Charge(s) <br />Total Fee � <br />�� <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By _ � _.e/ <br />Ci y nginecr <br />Issued By r=� = '��T <br />Inspection <br />Date I <br />No. 23312 <br />