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y �t <br />everett <br />� <br />City of Everett <br />CHART N0. "� � � - �r� �� <br />� � �_�-8/ <br />yGS;�� <br />Se�wer Application and Permit <br />NO. Z4O�$ DATE <br />Service Address ^ % <br />Billing Address <br />City, State, Zip.�-------- <br />pwner (Nlortgagor) <br />Billinq Name <br />Connection By <br />Address <br />DESCRIPTION: <br />Lot�— <br />Plat <br />Unplatted Descr <br />Block.�-- <br />Utility Account No. <br />°ermit Fee - <br />Con�ection Charge( <br />Total Fee <br />Signed ' ,om�, <br />$eW?f UISIfICl <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />lbutting Lot Line <br />N, S, E, W— <br />SEE SKETCH ATTACHED <br />qpproved BY i11 Thn-■ — <br />City Engineer <br />Issued <br />INSPEC710N <br />���� (1 � ���n . . , � l /' <br />Inspection By <br />� - � .� <br />- � � <br />Datelnspected <br />-` No. 2403� <br />