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CHART NO.� �+�_- , <br /> everen <br /> e �; ._ �= �� <br /> City of Everett ' � � � .�� . <br /> � �:- <br /> Engineering & Community Services i <br /> Sewer Ap�plicatio� and Permit ' <br /> , <br /> � <br /> NO. . � DATE %' _ ' / — <br /> i 1 <br /> i <br /> Service Address ' ' �� _ --__ '= � Utility Account No. �����1 � � <br /> ��:� , � /' � PermitFee `� ��'y j <br /> Billing Address - <br /> �� <br /> �r � � <br /> City, State, Zip�_ � s�' • �f ' �'� Connection Charge�s) ,�U i <br /> � � <br /> Owner (Mortgagor) " " � Total Fee__ �U i <br /> i <br /> Billing Name '-'� i <br /> 1 <br /> Connection By � `' ` � <br /> / � <br /> Addrr.ss Siyned �-��� `�--� ���� 'L � <br /> cwtamer <br /> me <br /> Phone -_--� r-�•--�/�'�-- ---- <br /> DESCRIPTION: Sewer District � � � � <br /> Lot �� Block _ � <br /> Monthly Sewer Service <br /> Plat �- r� / ', _ _. ` _ . T r I <br /> Unplatted Description _ Monthly Sewer Constr. i <br /> I <br /> � Trunk �� -' 0 /L'✓ � �'U � <br /> Type Permit: :'�• . - ( ,..- ; <br /> Lateral -_' �� 1%0 .DD i <br /> � Remerks: ' <br /> Abutting Lot Li� i <br /> _ _ rv, s, �'`W/ �U tc. ; <br /> , � <br /> — i <br /> -- - Approved By _- .�1 � . , <br /> ' Ciry Engmen j <br /> -- i � <br /> -- �SSl1Cd Qy ' ----� r <br /> i <br /> Inspection By <br /> � ..l.�t�l r�/ I� <br /> � - - - __ _ __ <br /> ___.__ Date Inspected �� -fo2, � �[1__ <br /> SEE SKETCH AT7ACHED N0. <br />