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iCHAFT NO.' � � r - ` � <br /> { everett --���� �_� <br /> � e :: �� . <br /> City of Everett - <br /> Engineering & Community Services <br /> ; Sewer Application and Permit <br /> NO. �' ]_ ". ,`' ? DATE � I <br /> /�—/1 � <br /> Service Address � � �� 7 � % � '� ' --� ' � '-� Utiliry Accovnt No. -� - - `' � ' � — <br /> - '�',� <br /> Billing Address f"�i�, �-'� ` �/i�J Permit Fee �U <br /> City,State, Zip �v �" � t`� �1 j v=9. `�` ;U� Con�ection Chargels) ' `-��� ���' <br /> r,` <br /> Owner (Mortgagor��-�\� �� �''- 7<� � - �'�C, Total Fee �%<'-' <br /> Billing Name �-'�t � � <br /> Connecti�n �y --' � �1 � <br /> Address Signed � Y -• % � % <br /> customer <br /> Phone .� S 3 - `i�7 S ;� <br /> DESCRIPTION: Sewerpisirirt ^ -3 <br /> Lot j j � Block `� - ,, v <br /> Plat ' i �, Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � / S� <br /> Type Permit: �l . . � % � ._ � � <br /> Lateral � <br /> Remarks: <br /> � Abutting Lot Line <br /> � _ N, S, E, W ft. <br /> Appraved By <br /> � City EnginFer <br /> t <br /> � ISSU@d By <br /> � <br /> { <br /> � �nspection By ��`�(.c'z� <br /> � � Date I nspected�,��Z - <br /> • � <br /> s SEE SKETCH ATTACHED NO. <br /> i <br /> � <br />