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1 <br />evereP <br />City of Everett <br />Sewer Application and Permit <br />No. 23278 <br />Service Addresi <br />Billing Address <br />City, State, Zir <br />Owner 4Mortga <br />Billing Name_ <br />Connection By <br />Phone <br />DESCRIPTION <br />Lot <br />Plat <br />Unplatted Descri <br />DATE <br />CHART NO.y 1g-Z0 _ --r <br />fa <br />Utility Account <br />Permit Fee <br />Le_�b . ` Connection Chargels) !D tq'i <br />G �„L�r✓/// �r!'� -f/ l Fee <br />"16 <br />-• -4�1 <br />Type Permit: %i��r /' _.�•a„ J <br />E <br />Remarks: <br />6-mac; r S. t -) <br />--tenn <br />c, arc- rat,';1' <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Customer <br />Sewer District Monthly Sewer Servic <br />Monthly Sewer Constr. <br />T'runk S// U /-z--7?r <br />Lateral 6-7-3•OY <br />Abutting Lot Line <br />N, S, W <br />Approved By_ <br />City Engineer <br />Issued <br />Inspection By <br />Date Inspected <br />No. 23278 <br />J <br />