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._ -, <br /> CHART NG. <br /> everett <br /> � ��STC D <br /> (o- �'- Sz , <br /> ' - City of Everett ����, <br /> V'� <br /> Sewer Application and Permit <br /> , 7 <br /> No. 23844 DATE ' 1 �`��� <br /> � <br /> ,� ,,�/�_ �r�/ �,�,, /�,,,��- <br /> Service Address 5 � = � �-`Jc�r�-='��aE Utiiity Account No. <br /> � s_G� <br /> Billing Address �--' Pe•mit Fee �= ` _ <br /> � � <br /> City, State, Zip � t-�� ����•��' � Connection Charge�s) <br /> / / � p i <br /> Owner (Mortgagor) '�Irtn--rv tZ �n'1�-x' 2 "/� Total Fee ` s� I <br /> � � <br /> Billing Name„/�nv�-�= <br /> Connection By <br /> Address Signed_ <br /> Cus�omer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service � <br /> Plat_ � � <br /> Unplatted Description�v� s��5 L3o����1���� Monthly Sewer Constr. <br /> ,rr�- Cr�'�� / � -'yb'� Trunk <br /> Type Permit: <br /> � }L,� /' �� Lateral <br /> Remarks: � <br /> Abutti�ig Lot Line I <br /> N, S, E, W ft. <br /> �'� , � <br /> � � <br /> . r � �_ <br /> .�*�.�� ''u" - - <br /> / � i� � _. Approved BY�� ��';'"�`��"`�� <br /> � C�ry Engineer , <br /> �. `� �� � <br /> Issued By <br /> ,l� . /l�iL-�L`'�� �,� . <br /> _�--�—� _ <br /> � Inspection By <br /> 1 Date I nspected �5� - � ��Tz- <br /> SEE SKETCH ATTACHED No. 23844 <br /> I INSPECTION LI <br />