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�► v- <br />everetl <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer �4pplicati�n and Permit <br />N0. :' ; �' _i �,_ DATE � � _ <br />Service Address �! �%'�� �- � '-/ /.!l! <br />BillingAddress �i'�l�U G= L���� -':���//� <br />CH,1RT NO.Z�� ��r� - <br />Utility Account No. <br />Permit <br />` �CJ; � " )�`• La" -� <br />City,State,Zipf-�L%L�'E/J _ Connection <br />� <br />�7�_L,-!�. ,�� �'`S'Y <br />� 1 <br />�� <br />. � <br />Qwner (Mortyagor) n f :a' � �_�' � (.'�. L � Total Fee l < � `` ' <br />Billing Name - �---c_ � <br />f'-�f � �� _ � �-�'LF..', <br />Connection By �-�[xJ� �iC.V_..E? �\ <br />;)QL,"'� L;4T�.� ST �1 L, j�r" i�. <br />Address Signed �. �� -�r ___ <br />Cuslomer <br />Phone l.r � ,�� � C�`��L� <br />DESCRIPTION: <br />Lot � ` Block ��' <br />PlatJ:�%L-1-'c....- �-� r�.c. :: �� � <br />Unplatted Description <br />9 <br />SEE SKETCH ATTACHED <br />e , . <br />, , � i, �:. <br />� <br />SewerDistrict ` -• X- -� '�� <br />Monthly Sewer Service �"1�r'L:�� Lc� <br />�?onthly Sewer Constr. <br />Trunk U' � (-� <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />�L • � C� <br />Approved 8y � � /�-'' •` „ <br />l:tly EnBmeer <br />Issued8y__l � itc � i�ii.�a.! <br />Inspection By�L �� <br />Date Inspected � �i'�7� <br />NO. <br />