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everett <br /> I CFIART N0. � ' ` '/ � <br /> � �•�osT� �O � <br /> 9 - z � - � � <br /> City of Everett ' e <br /> Engineering & Community Services r�J'jr�` <br /> I <br /> Sev�rer Application end Permit ' <br /> � <br /> f70. . " � ' DATE �.-' � � �,� � ' <br /> =-''-=-�-��— -— --� <br /> 1 ! <br /> Sarvice Address n��'"�� '`� . s �, -� I <br /> „� Utility Account No. i <br /> Etilling Address Permit Fea__ i <br /> (:ity, State Zip Connectiori Charge�s) ! <br /> � <br /> Owner (Mortgagor) Total Fee i <br /> Billing Name_ j <br /> Conneetio� By_�f.. �'' � � ,� f <br /> Address i� � � ' <br /> '-------- ---- -- Signed__' c_� � / . _L�.�_::.,� , ; � <br /> Customer � <br /> Phone_ <br /> DESCRIPTION: Sewer Disvict._ I <br /> Lot Block � <br /> Plat Mon[h1y Sewer Service ___ <br /> Unplatted Description Monthly ;'�wer Constr. <br /> Type Permit: � • �� Trunk __ <br /> -____!_-��'=" �, � — <br /> Lateral <br /> Hemarks: �,y�r�f iJc L �Il� . f . ,2 � s ' <br /> ' Abutting Lot Line � <br /> — N, S, E, W--- ft. I <br /> __ �� K . COi!! r5 /.v r�w� I <br /> r�r �r L ��n. , PN.t'N <br /> i S // 7�e�A " . <br /> Approved B � � ' <br /> a . �. _,._ <br /> Qry Enqineer � � — <br /> / <br /> _ �el�iJ..t'r �/ c n iri.ti c c . ���,/ ' ' j I <br /> Issued BY- -- —_ — / - <br /> r— <br /> I <br /> i <br /> — — :/ � <br /> ---- -- !nspection By_ � % Y ia_ � <br /> . � <br /> � —. _ Date Inspected ,5��7'.O --- + <br /> SEE SKETCH ATTACHED NO. � <br /> i � r.ii, ,;, � I <br /> � - . _ . . s. �:..� . � <br />