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everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />� <br />Service <br />�,,�33:1 <br />v 7� �'. <br />Idress �-�'-O _ <br />DATE � I/d %7? <br />Billing Aadress � � G �� - :' <br />City, Sta[e, Zip �' � � <¢jt� � ' p -� <br />� �' <br />Owner (Mortgagor�_. - � %'%�' ',� <br />Billing Name .��,--- _L� <br />Connection By _"� �� <br />�% <br />Phone�S � - %, /'f 3 <br />CHART �'O.T �—q5 :"- • � <br />,, � <br />� _:: .: <br />,��,���- : <br />���... <br />-�J� �: <br />0 <br />Utility Account No. J' Q%- /`%;.L� • bc� <br />Ov <br />Permit Fee___,�0 � <br />oi <br />Connection Charge�sl—y�(i <br />-�, i <br />Total Fee___ J� <br />Signed �-.' `� L�-�%'' ✓o - <br />cu:tomer <br />DESCRIPTION: Sewer District_ � � � � <br />I_ot �.3 Block <br />Plat .... .. i. •� Monthly Sewer Service <br />/�c 2 FJ' '%�i�,�_,'� <br />Unplatted Descrip�on Monthly Sewer Constr. <br />Type Permit: <br />SEE ;iK[TCH AT7ACHED <br />I'����+ " ' .. �i . <br />�.. ._ . sl a-. <br />Luteral <br />Abutting Lot Line <br />N, S, E, W <br />1�. � � <br />,,n <br />G <br />Y� <br />4pproved By ' -r-..__ <br />GtY Enpineer .��"�� <br />! ' _�_� <br />ssued By r • <br />------- <br />nspection Byf ��f�-`—',� '�' ��� �r- <br />v��z�r% <br />ate Inspected__��/ _�_ <br />• <br />r ,,� �..'- - <br />� i� <br />� <br />, <br />