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CHART NO.p!"�'�—� ? <br /> � ever^h _ <br /> /�s � � <br /> � <br /> e <br /> � City of Everett <br /> � En�ineering & Co•�r: unity Services . . <br /> � Sewer �pplication and Pe�mit <br /> � NO. � _1 � �, ', DATE '` ' _ � / <br /> , ^, i • _ � i <br /> Service Address � �� � ' � Utili;y Account No. ' <br /> _� <br /> / :'� / /'. �.i / � / F� • Perm;t Fee , v , <br /> ' Billing Addre,s�— � - <br /> /�. <br /> j � y�1'N ivp:/� fL F'G - 4 Connection Charge�s) ^G' � ' <br /> � City, State, Zip --,_ � <br /> � Ow�ner (Mortgaaor►�_ � � /�/�/)/���i- ��L��� _ L��' :�otal Fee__ -�v <br /> I Billing Name_ -� �� '�� �= <br /> � "''� M '_ — J , <br /> Connection By i` <br /> ` � i i . ' <br /> i <br /> f Address__ .- Signe-1 /� r.'� . � r , ;,,r,r : . '- �, i,>� � �:.i- 'f'c. <br /> � Customer <br /> �/y � <br /> J <br /> Phone_� ' �� �� — <br /> i <br /> � DESCRIPTION: :�ewer District_� �•� � � — <br /> � Lot -' `� Block l �- ,� <br /> - IJlonthly Sewer Service — <br /> Plat _,,'. / - , .._.. <br /> � Unplatted Description _ _--- iVlonthly Sewer Constr. <br /> Trunk �' ��' <br /> � Type Permit `�f: � , ! <br /> Lateral "�"'� <br /> ; ---- <br /> �� Remar�cs: <br /> Abutting Lot �_ine � _ <br /> � N, S, E, W-----�=�- -- ----'t. <br /> t <br /> i <br /> �� - - — Hpproved By .e:-� . / _-- <br /> CiIV Enginrrr <br /> � —. — �- <br /> -- - Issued By_ -' + <br /> I <br /> � <br /> I <br /> � — <br /> ! Inspection By L� ' �?�``. -- <br /> � — � -� <br /> ! _� pate I nspected �l-. - <br /> __ _ ----- - <br /> i a---. . �_- � <br /> % SEE SKETCH ATTACHED � N0. <br /> � ��i����� � ' ` . . � <br />