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< i ri: <br /> i <br /> ✓ "" ! `" <br /> ! /� CHART NO.� 8 +7� S <br /> � everett 4� `�. <br /> I r��S�� .• ... � <br /> e -� �.� ��� <br /> , ,: <br /> � <br /> � City oi Everett I <br /> Engineering & Community Services <br /> � <br /> Sewer Application and P��mit � <br /> � <br /> k <br /> E NO. ' i �S`J J 1 DATE _/_� /ji <br /> Service Address= -� ! � rr J� -c _ Utility Accour. No.= -� - ` '' �% �� <br /> Billing Ac•�r.ss F'� 4� ��a Y / ! '" Permit Fee � � <br /> � City,State, Zip �'C r �' "� _ . Connection �harge(s) `• ti � <br /> � <br /> t Owner (Mortgagor)%��L %:°' �, � ; r> : :�-• Total Fee J <br /> � Billing Name_ �� , ;� .' /� �� ?;! � i�', <br /> � Connection By "'� ' <br /> � x <br /> i Address -- Signed :..:i'. %'C,..� <br /> �Customee <br /> i ._.� <br /> � Phone ; „1 `� j <br /> � DESCRIPTION: Sewer District �__,'.'� <br /> Lot i •� /EJ - - <br /> , Block_`� <br /> ` Plat .. =•.-; �• ' ' � Monthly Sewer Service '- � <br /> �{{{ . ,. _--==� — <br /> Unplattea Descriptio�; _ _ Monthly Sewver Constr. <br /> k 7runk %. J_�^ <br /> � TYPe Permit: ��.; � � 'r... _. ,' � --� . , . — . <br /> t ' <br /> { Lateral - �- � ! <br /> f — <br /> ; Remarks: , <br /> � Abutting L ot Line <br /> � N, S, E, W— _ ft. 1 <br /> i <br /> � f I <br /> � , . ' <br /> Approved By <br /> icitv �nqlnee. , <br /> ' Iseued By_�_ L I <br /> � _ <br /> 6 — <br /> � - -- /.k—�' _-�" 1 <br /> Inspe�ction By��±�2��isya'��� . <br /> i 7 <br /> �� -- _------ Date Inspected �/�� �/ _._ ' � <br /> 9 ���__. . - �_ � <br /> 1 � SEESKETCH ATTACHEd NO. , <br /> i <br /> ��,._�; _CT�1O?, <br /> � �.. ' <br /> I <br />