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CHART NO. ~ Z � <br /> everett <br /> �-Z-�S��,a <br /> e _ Z � � <br /> z � <br /> � City of Everett /' _ " "v <br /> Engineering & Community Services <br /> � <br /> � Sewer Application and Permit <br /> NO. � .l_ l �� !� DATE `'�' � � <br /> Service Addresslr� L�� ���f�'- Utility Account No. <br /> l �j •,� <br /> BillingAddress ✓��/���C Permit Fee <br /> �.� r � � � <br /> City, State, 2i�- �- ��' �� ' �d Z�� Connection Charge�s) <br /> Owner (Mortgago L��1�-'� G ^'�ii��.�' ' �' Total Fee �G � `�� <br /> BillingName ✓.'�fti�t. <br /> Connection By ��/'��/�. <br /> Address L��- 1 �`�,LC'' ' � r- Signed� �/�'i-"',-rC�'-""^'^_"� <br /> cmromer ; <br /> Phone lL � �/ - �t�� Z4. I <br /> DESCRIPTION: Sewer District <br /> Lot �_���? -� BlockC�' ' '� <br /> Plat i�-v�_�V� V E4"�-!/`� � µ� Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Coristr. <br /> — Trunk ; <br /> Type Permit: " ��.,��i ti,c� <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> . ���e�s�C1--��6/ �_ <br /> N, S, E, W ft. <br /> ��'��c � !�'u,*�i -- APProvedB� !-i�"�(.)�C./�i(. % <br /> � <br /> � City Enqineer� <br /> -- IssuedBy � � �J(_G !)�l.U/�� <br /> Inspection By�1 `��.--.� <br /> ------------ — — -,— -- Date Inspected�lO/74 <br /> Y <br /> SEE SKETCN ATTACHED N0. ' �` �� � ' <br />