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i <br /> Everett CHART NO.--L-Y? n= s <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 23077 DATE <br /> Service Address_ t"-� _ Utility Account No, <br /> Billing Address_ Permit Fee <br /> City, State, Zip -- t �. .. _ Connection Charge(s) <br /> Owner (Mortgagor) ` ! r Total Fee _ <br /> Billing Name -f <br /> i <br /> Connection By <br /> Address I _ i t Signed < <br /> Customer <br /> Phone—_ <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> I Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> - --- / Cny Engmem • <br /> Issued By <br /> I <br /> Inspection By � cJM <br /> Date Inspected_ <br /> SEE SKETCH ATTACHED 23077 NO. <br /> � I <br /> _ INSPECTION <br />