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i CHART NOrZO�^ ! �� <br /> everett <br /> ' �p s �G.T� <br /> I � <br /> � --- 9'— Z/ -- 7 � <br /> City of Everett I � <br /> Engineering & Communiry Services � //A t � <br /> i��,� � <br /> ; Sewer Application and Permit <br /> � <br /> � _ ' ` , <br /> NO. �' ��� �I i �,� DATE �� �-+' 1-1 n� <br /> i <br /> �� — Utility Account No. __ _ <br /> Service Address i�-fi. _�� � --'c ��"t_.:�. _.. <br /> Billing Address_ �-�.�'�"�Z � �I=K6�ti'_ Peimit Fee_ I �._I C �u�. <br /> M City, State, Zip�-- `- r `� ��" I-(_ � Connection Charne�s) _ / <br /> Owner (Mortgagor) �:' 7�_�'�C� � "L.. ��''-c1:��(; Total Fee �`�� �- ^- L <br /> � Billing Name � ����"'t- <br /> ( Connection By E=�-Lit�.. k:.� i L.� �•r �r _ <br /> iAddress Signed � -.-�- � "- , .--l . C, �=+i� 1 ? <br /> � Cui�omer <br /> C Phone <br /> DESCRIPTION: Sewer District <br /> Lol ' � r ' r Block `;"� �' <br /> � _ <br /> � Plat__�-:= � L �-' �=. � T �-� Mon[hly Sewer Service <br /> I� Unplatted Description _ Monthly Sewer Constr. <br /> ( <br /> � Trunk <br /> � TYPe Permit: �.-,� 1 �',� �� <br /> ( Lateral <br /> Remarks: r�., , � c- <br /> ( — Abutting Lot Line <br /> � N, S, E, W ft. <br /> , 3 N -- <br /> , <br /> i � � �.P —' <br /> � <br /> f _ App,-oved By L_ . � , f.;_ •_ , ' ( <br /> ___ Gry Enpmeer <br /> Y <br />� I — Issued 8y �-- C-,_�_.� t ��� � . . .. i <br /> I i --� <br /> � A <br /> /' <br /> Insoection By "`-"�'� '�`1"''�'�"�"�""I <br /> o - -- ---- Dat�� Inspected � -� J - 7 O—_ <br /> SEE SKETCH ATTACHED Np. <br /> n ,'� �I ; � � � <br />� <br />