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k evereft CHART NO� �''� '' - <br /> =----s— <br /> e -� � ) . <br /> ; ,'-� ,: �.� � � <br /> � City of Everett "� <br /> � Engineering & Community $ervices "�`'" �� <br /> � Sewer Application and Permit : �� <br /> � NO. ?� v;1 3 DATE f/J'.v ;'/� <br /> Service Address � `�' � U w; . - <br /> Utility Account No._-� - � .� - � �/!, _ ; i; <br /> Billing Address -�/�U / 'p �( •l�,� ' - ; <br /> , Permit Fee ;u `�� <br /> City, State, Zip'-/ f ;_. ,"'� G�'.^.i, <�/v' �p � Connection Chargels) �; : � "^ <br /> ��/� <br /> Owner (Mortgagof�`=�C.L,r % i.l,.-�'/,'„ , -> _- <br /> `'�' Total Fee -% %' I <br /> B�Iling Name � _:,:fi`:.v ; _ J`; i� <br /> __s` <br /> Connection By _- �•' .t , �.� <br /> Address <br /> Signed ..: ' - %: .; <br /> Phone— : '' 3 - �7 ��� -= as�ome, <br /> � - _ i <br /> DESCRIPTION: <br /> l�y�_ Sewer District � -> <br /> Lot Block �� `/ i <br /> � Plat f' , _ '---- , <br /> l° �.;� ,�- Monthly Sewer Service � �S U <br /> Unplatted Description Monthly Sewer Constr. <br /> € <br /> � TYPe Permit: ��-..,,� r _ i, Trunk_ /� ! �� <br /> 4 Lateral , <br /> { Remarks: <br /> E <br /> � Abutting Lot Line , <br /> N, S, E, W ft. <br /> i <br /> C - <br /> �� APProved B'y . � <br /> City En9ineer -- � <br /> � <br /> ! Issued By_�_.��_ �� i <br /> � <br /> fInspection By�icz,�� 1 <br /> I I <br /> 9 Date Inspected ����, <br /> E SKETCH ATTACHED�� { <br /> � <br /> NO. <br /> + <br />