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!i_ y� _. i.:� _ S' <br /> `rl <br /> I CHAflT NOF -Z'"__ `'`i-S _ <br /> f <br /> everett <br /> ��, s -.._� r> ' <br /> � <br /> � <br /> ' 7; _ �- �- � �" ; <br /> I � <br /> city ot Everett � �r <br /> Engineering & Community Services I �� � �, <br /> Sewer Application and Permit ; <br /> � <br /> NO. � ; �? DATE '',������-` - — <br /> Service Address ^ � �� --�"` ' U!ility Account No. ____ i <br /> Billing Address Permit Fee `" .� i <br /> ��--- <br /> City, State, Zip Connection Chargelsl_—_ <br /> Owner (Mortgagor) Total Fee_ ' ' — _ <br /> Billing Name ' <br /> Cunnection By � ��- � l r- / � <br /> �f , <br /> Address / ✓ / Signed � ' � — - _ f I <br /> Customer <br /> Phone---_ -- � <br /> i <br /> DESCRIPTION' Sewer District __ __ ! <br /> � <br /> Lot_._. Block ' � <br /> Plat Monthly Sewer Service_ <br /> . j. <br /> Unplatted Descriptian _ Munthly Sewer Constr. '; <br /> - Trunl< i <br /> 1 ype Permit: �_.•f. � — — � <br /> Lateral <br /> Remarks: ��, �-�.-,�_ ,: j . � Abutt�ng Lot Line <br /> N, S, E, W __tt. <br /> —_�_.� ,i . ,�J( �jr[.�r ^ l �� _� O � P i <br /> � d- /���..� /, . .�s-� ""�' i <br /> I, <br /> _ // 1 <br /> - -- ---- — Approved B'�' • '�! - — 1 <br /> Cny EnB�neer <br /> _— ' � i <br /> ( � <br /> ( Issued By -" _ <br /> ! <br /> Inspection By�/-'�•1_._r4-�..-*--�1 � <br /> y <br /> D�rte Inspected �; - 7 d -i�_ _ _ <br /> SEE SKETCN ATTACHED NO. <br /> .., . .,... . . � . . . . � �:-,y-uer^4+ ,�:T?��¢,�t+^u ..M.,.,�:�.���.y�-,� � <br /> � . . .- - �_-a . . - - ... . .. <br />