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� I CHART N0. -_- _-�-- — <br /> everett : � <br /> i . <br /> , � : i , <br /> e � <br /> City of Everett <br /> � Engineering & Commimitv Services <br /> � Sew�r Ap�p���atior� and Permit � <br /> � I <br /> � NO. . . DATE ' 1 :. � i l _ � I <br /> i <br /> i <br /> � Service Address � � `� F � ��_ Utility Ace��unt No. _ _ <br /> � -'� a. : (- <br /> i Billi�g Address � `^� � �- Permit Fee - _ <br /> iCity, State, 2ip �--` � � �'' r � � Connection Charge(s) __ <br /> � Owner (Mortgagor) ��_ � _ } � , f= �� �_� �ic , Total Fee-----`--)/ "_ �. ----- - <br /> � <br /> Billing Name <br /> ' Connection By . �`.:-:•__� ._': .-•_-: �--, � ,. : .. <br /> i <br /> i -`=---=— -�— -� — <br /> Address Siyned � � � <br /> i <br /> o„io����•� <br /> iPhone-- - - -- <br /> i DESCRIPTION: Sewer District _ <br /> � Lot__ 31ock `�'� ' � <br /> Plat ' � ' � � � �- � Monthly Sewer Service <br /> � Unplatted Description_ ___ ___.___ Monthly Sewer Cons[r. <br /> j - - Trunk <br /> � Type Permit: !. �, ,, , �: <br /> i --- <br /> iI Lateral____ ___ <br /> liemarks: � (�,� �-I <br /> � �"_�'� '��G� �`t` utting Lot Line <br /> i • ' <br /> : s-r�r� .�� .�.«..�L- 1�t-�� G.�i _ � N, S, E. W-- - -------rt. <br /> i /C���- d� �/l� �/l . �J�-��T �.aZ''' , <br /> --7— / <br /> i - — --- -- <br /> C. ' <br /> 4 - Approved By , . � ------- - — <br /> � _ c��v e„d���...,- <br /> ! � Issued By L � �� c ! . � �; ' , — — <br /> � <br /> i - - — <br /> ; Inspecti�m By�_-'�-�'�'�_. --- <br /> -- ___ Uate I nspected_�:-�'.._7_� __ <br /> _ __- <br /> I <br /> 0 <br /> SEE SKETCH ATTACHED NO. <br /> i , �+���� <br /> I�:t;:;�.. <br />