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i <br /> I <br /> everett I CHART NU. <br /> � /. ;, , <br /> , :� <br /> City of Everett ' <br /> Eng�neering & Community Senr��s <br /> �ewer Application and �erm�t <br /> N0. �`L 6 g 8 DATE � /7- 7� <br /> Service Address -�r/` � <br /> � ' r Utility Account No. <br /> Billing Address � �_r,_. _� �f <br /> Permit Fee r�` ' <br /> CitY, State, Zip . ,{. ��` � ,,r ' <br /> !'� ' - � ^ U Connection Charge(s)_,_, �- <br /> � <br /> Uwner (Mortgagor�_s�_.--•- J ..-�� � (�. g - <br /> �� Total Fee -`1 '�� <br /> Billing Name_ [ �--, � (; � ------- — <br /> Connection By _�'-,�- � _ <br /> ��_ _ <br /> Address ' <br /> .�!�I i J(� . <br /> Phone ^' � %L _ 6 � �i� c�:to�� — ---- <br /> DESCRIPTION: <br /> Lot %/T=__ g�ock r ,;�. Sewer District <br /> —__— <br /> Plat_ ?` ,�::. y Monthly Sewer Service__. <br /> Unplatted Description — <br /> _ MonthlySewe; Cor;tr. <br /> Tvue Permit: i_.'-� J� �'- <br /> . Trunk <br /> f 1'� <br /> Remarks: � Lateral <br /> Abutting Lot Line <br /> � N, S. E, W _ft. <br /> I� Appraved By-w .ij . <br /> QtV Engmrr�______.---_ <br />� '(j <br /> Issued Uy__ � __..;.._�_ <br /> � Int,p�ction f3Y-- <br /> B ---- —�Date Inspected <br /> SEE SKETCH ATTACHED h� 22�.� �i � <br /> INSPECTION <br />