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, •t <br /> CHART NO. <br /> evereit <br /> e <br /> City of Everett <br /> Sewer Application and Permit �CfJ <br /> No. 23345 DATE �? 9 <br /> Utility Account No. <br /> Service Address ��e y � <br /> Billing Address - -- Permit Fc� <br /> City, State, Zip <br /> Connection Charge(sL Sys <br /> /l <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By Do <br /> Address Signed i <br /> / c nmmcr <br /> Phone_. 3 7----37-7-7- <br /> DESCRIPTION: <br /> - 377-7DESCRIPTION: Sewer District / <br /> Lot 36 A Block _ <br /> �1 Monthly Sewer Servic,: *! <br /> Plat <br /> Unplatted Description / Monthly Sewer Constr. <br /> GC- <br /> Trunk /OS iJ G <br /> Type Permit: - <br /> Lateral v? /D <br /> Remarks: <br /> Ac,ttird Lot me <br /> N, W <br /> Approved By <br /> city Engineer <br /> Issued By l <br /> - - _ Inspection By_�_nA <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 23345 <br /> INSPECTION <br />