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II � CHART NO ' <br /> � everetl <br />� e �o s���� : <br /> � <br /> � City of Everett "r � � <br />� Engineering & Cmnmunity Services <br /> 1 <br /> � Sewer �►pplieation and Permit �' " �'� " �� <br /> NO. E„, .i � �j DATE �r � I%r <br /> % r <br />' Service Address_ ��` ��' � ' ' .� • Utility Account No. y <br /> /� � � i <br /> Billing Address_=��/- � � ✓ ��y _ Permit Fee_— .� � <br /> City, State, Zip_, r ' l , �� ����b Connection Charge�s) <br /> . � // ';� <br /> Owner (Mortgagor�� .' � ' 1- . �'-�' � ^ - ' / Total Fee JU _ <br /> Billing Name_ '-� <br /> Connection By_ - - � �.-- <br /> Address _._ Signed �G/ � � -- -� <br /> Customer <br /> Phone -� � % _�� <br /> DESCRIPTION: �ewer District <br /> Lot _ Block �� / <br /> Plat _ Monthly Sewer Service <br /> Unplatted C_scril�tion --r��-,�/:. ,/ J Iy��/ ' J�l�'� Monthly Sewer Constr. <br /> ; � �, y ��' y_r- <br /> Type Permit: ' Trunk <br /> -/f,�� ' , ! , / , � Lateral <br /> Remarks: <br /> � Abutting Lot Line <br /> N, S, E, W ft. <br /> �- <br /> i � <br /> �����,fi� <br /> Approved By f _ <br /> Ci�y Enginea <br /> ISSU@d By � ' - <br /> � Inspec[ion By ���Z�e'—� <br /> � — --- - � <br /> Date Inspected l <br /> Y <br /> I SEE SKETCH ATTACHED NO. . <br /> � nr i �� ��li�i�. <br /> i <br />