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i <br /> r <br />� <br /> j I CHART NO.�"'eZ9^iZ9-,� <br /> CVCI'pfl I �J <br /> I � ��S'�'�' �/ LJ <br /> I <br /> � <br /> City of Everett �. <br /> Engineering & Community Services � <br /> I Sewer Application and Permit : <br /> � . <br /> NO. �' _I_ f°: �� � DATt 1�7�I j <br /> Service Address 3�0 n -=-,t> _' :/.. �+�.=� Utility Account No. <br /> �� � 30 �' <br /> Biiling Address .3 �D rl - -cr L%, :h Permit Fee- <br /> � � <br /> i City,State, 7ip.:'__;: -_--� !�✓ 17�%� � Connection Charge(s} <br /> � / � o� <br /> _-�- <br /> I Owner �Mortgagora-�� -� !"�'�� . ,i��:. -- � < c^�'J-�tal Fee �30 <br /> ( Billing Name_ �-i`- ,� _c..r.� <br /> f .�---- / _ ,. .. <br /> Connection By�..�-�-`^'r"' , ��=�r-=-- �, � � . <br /> ;��"'::> . � <br /> .-�-"�i..-�- � �e,:�,. ,;,� ,' i� / �I <br /> Address r.� --�c,..�-r-�/�c-�- 7� Signed� � �` �� <br /> -':>.�G_..^ t - C�/ 'vBW e'D'�/O� cu�i dmer <br /> Phone. <br /> � :72 � — . j <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description - ` .� • „('/ � � ^� % ���'�- Monthly Sewer Constr. <br /> � <br /> Type Permit: ..� ; ' � Trunk <br /> -�, ._i ,.,� <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> N, S, E, W ft. <br /> ApprovedByr^�'�� .�:; ,it,�._i <br /> Cny Engmeer <br /> � <br /> Issued By -�� • <,_- c� r .�,�;;,� <br /> Inspection By �/ �/ ucG�- <br /> e <br /> Date Inspected / O 7 <br /> � SEE SKETCH ATTACHED � NO. <br /> ( -� Ih1SPCCTl�;h1 � <br /> I - -- <br />