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CHART NO._ 11 ''� <br />everetl <br />,,e <br />City of Everett <br />Sewer Application and Permit <br />No. 23682 DATE i�-/[, ���• <br />Service Address <br />Billing Address' / ��i. i %i �C- ��/C <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name ' �'/e I C -- <br />Connection By' ll �[^�/ G y 6!" <br />Phone -- <br />DESCRIPTION <br />Lot __ Block <br />Plat 7� r r_ <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />Utility Account No. <br />Permit Fee_ <br />Connection Chargels) ✓����' {_,C �l� F'�4/r tJ <br />Total Fee___ <br />Signed cuttomm <br />Sewer District¢ L A 0 W—V� Z 7. <br />Monthly Sewer Service .�, CU <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By /-/ U/a/t 'L� C �✓ <br />City Enginm <br />Issued By-- r_.t. i.J f-)A.4 <br />Inspection — <br />Date Inspected s -- <br />SEE SKETCH ATTACHED NO. 236°2 <br />INSP CTIDN <br />