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� everett I CHART N0.�___ <br /> ; e , , � �.: <br /> � � <br /> � City of Everett <br /> Engineering � Community Services <br /> S�wer Applic�atiun and Permit <br /> � <br /> ( NO. . i i ,i ( DATE �L. IT <br /> ` Service Address�---�1 � 7����E"� <br /> f �--'��--- UtilityAccountNo._,_ <br /> � Billing qddress �=-�w�t- . / — <br /> j ` ---- Permit Fee � /C�_,S� <br /> Ci[)�, Sta[e, Zip�_V�z_�7-�- `�f' ------'------ <br /> � ���� _. Connection Chargn.(s) <br /> Owner (Mortyagor��-�u�, �� '--- <br /> i -�1� Total Fee __ __�� <br /> I Billing Name �._.�. -�„�_ - <br /> ---_ <br /> jConnection By�---•i ��- `.;r_- (_;_. � <br /> t -���.�]?��--P� <br /> IAddress -- <br /> � - Signe�i•--t�_.�L V���-�' r nP� <br /> Phone Cus�omer — <br /> � DESCRIPTION: <br /> � Lot_< - �__ g�ock L Sewer District _ <br /> ! Plat L-%1 11 ( _!.',��, � Monthly Sewer Service._____ _ <br /> � Unplatted Description <br /> I ----- Monihly Sewer Constr. <br /> � Type Permft: _�,_�+�i._���_- Trunk_ <br /> i <br /> � ---- --- Lateral <br /> � Remarks: _ _— --- _ <br /> __ -�"---���tiC� r�rL " Abuttiny Lot Line <br /> _s3.�.�i �/rr� �� . �—[G"���-w fV, S, E, W-- <br /> � �---,�''-�11�_�,�✓ ��l� ----_._�c. <br /> I -�-*Ls��_�._�--- �---��— <br /> 1 � <br /> f --- _—___ I , + <br /> -- /�PP�oved B -•t�.l.yli�h_C , <br /> — -- Ciry Engmce�-- <br /> � __ tss��dav�-L_�`�L(_llr.�x.�ci <br /> � --- <br /> I - <br /> I <br /> � -'----- -- --- -- Inspection By��y - � � _� <br /> '�/ ��-- <br /> j a— --- - -- - -- _ - — ---- Date Inspected__�`--�--� - � 7 <br /> SEE SKETCH ATTQCHED <br /> [{�,�1 s,,� ���'""�Al73P"sy'ri`w.x�,Tay$�'te;rs'�3'F^c'r.. ( NO. <br /> � r �.. �,w'� ��y.��.. . .. - ��� ;+'i�"��, �'�.� ,, � <br />