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r ' — ] <br /> � l <br /> � <br /> evered CHART NO.� �% " , a' � � � <br /> e ���� .., � <br /> �i���� <br /> City of Everett /1'/ " _ ^ ' <br /> Engineering & Community Services ` <br /> ► Sewer Application cnd Permit = <br /> NQ ,� ,� I �. I DATE �/� ���7i�_ <br /> i , � ! <br /> Service Address �' s/ Jr � s-� �x.�/ Utility Account No. J- 0.7 _ / J? _ u / , <br /> BillingAddress.���.3 � v�?� i/(,�- ��j . permit Fee_ � � ��- ; <br /> City,State, Zip � :'�/c . '�+'� il� Connection Charge�s�. y�0 �� I <br /> � U�� <br /> Owner (Mortgagor) �° " � '' / L ( Total Fee � 0 <br /> i <br /> i <br /> Billing Name - _`... � <br /> Connection By �_. � <br /> Address '-- Signed "�^�M!�'� �J•��.�.,�L/.oht/�/ I <br /> cuslome, i <br /> Phone -% J J - „ . fr , <br /> i <br /> DESCRIPTION: Sewer Uistrict "� ��.�� _.:� � � <br /> Lot Block —'- ' <br /> Plat_�P /.�U =G - 6/ _ , � .` Monthly Sewer Sarvice �'� �. (.. <. ,� { <br /> Unplatted Description � <br /> _Monthly Sewer Constr. <br /> Type Permft: � s , Trunk �. -./ D _ I <br /> ,",1.� ,.- r" - / <br /> Lateral_ r•�. �Q � <br /> Remarks: � " <br /> Ab�tting Lot Li �O ; <br /> N, S. E� f[. I <br /> � <br /> i <br /> / • i <br /> Approved B/,_ ._ ��< ; � <br /> Ciry Enpmner ' <br /> �' <br /> Issued By_ <br /> — � <br /> � <br /> _ Inspection By , <br /> ,� ---- _ Datelnspected �- �� �� <br /> SEE SKETCH ATTACNED NQ <br /> ( �r; ,i�i i�ti�� <br />