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; everetl CHART N0. / '_- <br /> � �_�---- <br /> � /-'-.-,—�=n 3/ <br /> � � <br /> City of Everett . <br /> � En�inoering & Community Services <br /> � Sewer Appficotion and Permit � <br /> , <br /> , � <br /> � �__ <br /> ' NO. , " I :)�Iti DATE ����=--- <br /> � <br /> iService�ddress /G/ il % -: //v - ----- -- - — -- --- — <br /> 4 i l� Utility Accoun[ No.� - �(- 7 ._ � p / <br /> � Billin Address_ / '/O � , <br /> � 9 i:�. ' .'I � . _ c,� <br /> � Permit Fee J �' ' <br /> Ci[Y, State, Zip_ ,, ' /'� % i . �� <br /> � ! � ' Connection Charge�s)_ %/( - <br /> /i�/J�/ -',� 7 �j�./N <br /> I Owner (Mortgagor) ���O cOi <br /> Total Fce � <br /> ---- -- -- <br /> ----- ------ <br /> Billiny Name <br /> Connection By <br /> Address <br /> Signed _- �%� i �' <br /> Phone.�_.�_�//%L _' c�:�u�� — <br /> DESCRIPTION: _ <br /> Lot_ � Sewer District_ .r'% � j"� <br /> ---�_ Block <br /> Plat �._• � ; ;- Monthly Sewer Service <br /> i <br /> Unplatted Description <br /> Momhly Sewer Constr. ' <br /> TYPe Permit: "_J � Trunk_ - j!/ �'�'-. <br /> � �j/�} <br /> ,��. <br /> � Ramarks: Lateral +�-�-- �� <br /> __ Abutting Lot Line <br /> N�. 'E, W `(J ft. <br /> � <br /> I / . <br /> � _ Approved By - " �; .:.. <br /> �nY Eng�nem <br /> I Issued Bq"~, --- � <br /> I --- <br /> i — <br /> � <br /> I ___ <br /> � ----- Inspection By .�.Ggtt _=-_ --- <br /> i <br /> � o - -- - _ - - — Date l nspected__l�/�' <br /> I SEE SKETCH ATTACHED � � <br /> i NO. <br />