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I. <br /> � <br /> � everett CHART NO. �` � . <br /> j � ��0 � %C' />' <br /> , �_ /� _ , g . <br /> � <br /> I City ot Everett <br /> iEngineerinp & Community Services �,�,� <br /> • <br /> i Sewer APplication cnd Permit <br /> � rvo. � � ; : �. <br /> DATE •���' <br /> -----_-- <br /> Service Address_ / / . <br /> —=--- Utility Account No.� -/i - ,' /;. ,:� <br /> Billing Address ��'!% /i � •/ -� <br /> —_ . Permit Fee "� <br /> City, Sta[e, Zip � , <br /> 5 f '` ' ' � Connection Charge�s)_ <br /> - :�' . --" ' <br /> Owner (Mortgagor) •--�_ ' <br /> � Total Fee__� �, � � � <br /> Billing Name �—. <br /> Connection By_ <br /> -�_ <br /> --�_ <br /> Address ..�� <br /> �� �!f� / <br /> --� Signed � / /�� � / ' / P'=-eY <br /> Phone �/� - � : / c�:�o,�, --�_ <br /> �---- <br /> ' DESCRIp'��pN: <br /> � Lut��• ':=� �___' �, g�ock � Sewer District___1r[__ ��-- <br /> iPlat_�� �'`__,' ,.. <br /> —_� Monthly Sewer Service_�� <br /> Unplatted Description ___ <br /> -- "------�—_ Monthly Sewer Constr. <br /> TypE Permit: ---"- __ <br /> �-- - ;" Trunk <br /> Remarks: Lateral <br /> -----_—. --- <br /> --__ AbutlLig Lot Line � <br /> N, S, E, W <br /> --- _'_--------ft. <br /> i�__�_ <br /> –�������—� <br /> -------- — Apu�o�Qd ey_, , l . <br /> �� <br /> �-�_��_ QIV Enpineer <br /> — — Issued 8y � <br /> �___..,� . <br /> —_---._ �—� <br /> -----_ <br /> c' <br /> - -- Inspection By---q� �*Zcs��� <br /> ° T --__-- , <br /> Date Inspected J� <br /> SEE SKETCH ATTACHED / / /� � <br /> . <br /> ( �r; .��i ��;lr��;i NO. <br /> ��� <br /> T <br />