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� - <br /> � everett CHART NO. -/�' /.'- i'- �` <br /> „ <br /> e Y: . = <br /> � �_� <br /> , .��� . � <br /> City of Everett <br /> Engineering & Comm•�nity Services � <br /> Sewer Application and Permit �� <br /> NO. � l `� :', dl DATE ���f% % <br /> Service Address �� �'� � -- -�r�� ' � Utility Account No. <br /> U� <br /> BillingAddress �' � - %�' ' . c PermitFee ..��Q <br /> City,State, Zip_. �� , :v. . i. -,�,� �: Connection Charge(s) <br /> Owner (Mortgagor) • %� F %=- Total Fee �� �— <br /> Billing Name_ <br /> Connection By _' ._, . <br /> ) / r / G/ <br /> Address Signed - /�GC'J�����j�/�lf�G�—.. <br /> . ' cu:lomer <br /> Phone_ � - - ',�i %/ ' <br /> DESCRIPTION: Sewer District i <br /> Lot ��_ Block .�/� I <br /> Plat_ SYx T-;�y�c, cr; <kj/�„ Monthly Sewer Service_ - '% V ' <br /> Unplatted Description Monthly Sewer Constr. � <br /> Type Permit: J/�,.,, ,,- , ' Trunk <br /> ( <br /> Laterel <br /> Remarks: ; <br /> — Abutting Lot Line <br /> -- - N, S, E, W ft. <br /> APProved By�r ��/ i <br /> ' Cilv Enpineer "'� <br /> _ ! /�Issued By i �- ,F <br /> Inspection By ��rrua..---� <br /> o Dateli�spected � � 77 <br /> SEE SKETCH ATTACHED Np � � � <br /> Irll��'I ('I IUf: � <br />