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. y��`''4: - <br /> .- ,r,.yn��, <br /> x�* <br /> �. <br /> ,�,ti. <br /> � � � _ � ._�:•-:i��.i <br /> everett - f ;�;,, /' f p - <br /> CHART NO. �'�' 7 Z/— .�� <br /> s� '�. ;i <br /> � j�:� �._ <br /> �S". . � <br /> ��ry of Everett �j` � - <br /> Engineering & Community Services ��G� ^�� - . <br /> Sewer �4pplication and Permi� '_ : ' <br /> � ; <br /> NO. � l �j�j � DATE i'/- � - J, <br /> � <br /> Service � +dress / � . / ,�� � n ' <br /> � Utility qccount No. <br /> Billing Address j ' <br /> Permit Fee ; <br /> City,State, Zi;� - -- � <br /> Connection Charge(s) � <br /> Owner (Mortgagor) _ <br /> ---_ Total Fee____ <br /> Billing Name i <br /> �— 1 <br /> Connection By � • - __ __ ! <br /> Address. , ; — � <br /> '�-_'_----__ Signed , i <br /> Phone,__ cusromer �� � <br /> � <br /> i <br /> DESCRIPTIQN: ; <br /> Lot�__ glock_ Sewer District j <br /> Plat,�_ —�_ j <br /> Monthly Sewer Service <br /> Unplatted Descnption <br /> Monthly Sewer Constr. <br /> �lt Type Permit: " - i <br /> -- Trunk J <br /> --' Lateral I <br /> Remarks: <br /> ��� / � . 7�, � <br /> --�LS« .� /� i�/ � . Abutting Lot Line ; <br /> ` <br /> - N, S, E, W ' <br /> � <br /> ���,,. �_. . ft. � <br /> ' � <br /> ,d � � <br /> �� " I <br /> . � <br /> �n' '.;:, APProved By I <br /> �-' <br />�r:�•;�': ,:. . ciry Eogmeer ; <br /> �;t.>�' Issued By--�=___ ) <br /> I <br /> I <br /> -- Inspection BY��,7�t���_ i <br /> � Date Inspected //- �- ],(� � <br /> SEE SKETCH ATTACHED f <br /> N0. „ �, ,; ; <br /> INSPCCTION �.. ,_ . . � ., i <br /> � ! <br /> � � <br /> � <br />