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� <br /> � <br /> � � <br /> � everefl CHART NO.���`� <br /> , /`�OS/ �� <br /> i � <br /> 2 — � I — 7g <br /> � City of Everett /� <br /> � Engineering & Community Sen�ice�s <br /> � Sewer Application and Permit � <br /> � <br /> � N0. _ ! 2 �) DATE i�L-�'G: I'7 7 � <br /> f � � , . <br /> Service Address:! 7 Z�� �-.'!_�! � �., ��� �s�� Utility Account No. <br /> BillingAddressJ7_�=F-� Q� , � /�r_�L PermitFee_ � '`� ' � U I <br /> l � <br /> City,State, Zip-�' 7�r'� _�' (. E/A . /�/`�¢ Conr, 'ction Charge�s) <br /> � l � GG � <br /> �wner (Mortgagor) ��1�f"�� YX'L%Y)_' �- Total Fee �.�� <br /> f B;Ili�g Namc 1�/ .7_2'i1 /�U; <br /> i <br /> � "? <br /> j Cunn�ction Dy /��/il''.CGC' ' ; � - , : <br /> � <br /> I /lddress�(/'Z/ � �Ti� � � U Signed`-;_`,�--�. 'l-�.t�..•t._ �'r'_"_"'_ 1 <br /> i _ Customer , <br /> Phone-�`� '�' h �3 � <br /> ` DESCRIPTION: Sewer District ����7'/�C_,�c.��� ' N <br /> � Lot �/ ' � �r Block L��� C) � <br /> IPlat._ �.(_���:.'�.'j7— MonihlySewerService ��� ��z' <br /> ` Unplatied Description Monthly Sewer Constr. <br /> ' Truni. <br /> I TYPe Permit: ��/G �G �� (S �'S . ' <br /> i <br /> Lateral <br /> I Remarks: <br /> Abut[ing Lot Line <br /> I N, S, E, W ft. <br /> � � �i� <br /> Approved ByL • �1��-�,�,�y <br /> City Engineer <br /> W <br /> Issued By � • CiJ �-L-��f-�-r.��l <br /> , <br /> � i <br /> Inspection By �`� �� <br /> � B Date Inspected �/��O% i <br /> SEE SKETCH ATTACHED Np. %� � F_ �) I <br /> 4 I�ISPGCTIOfV � <br /> { � _. , ^ _ . :, ,. , . . . <br /> � _. <br /> � <br /> � <br /> I <br />