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:r n <br /> •( <br /> /1/c� .! .. ".'�- 7% ��,� �� � <br /> CHART N , <br /> everetl <br /> i <br /> e �-� . <br /> . ;�- � � <br /> �-���" /� 1 <br /> City of Everett � � �L, I�� 1 <br /> Engineering & Community Services �� I <br /> Sewer Application and Permit ` � <br /> I <br /> NO. r� �� f, `.; :j DATE /��.., j� �j�-' � <br /> Service Address ��� �^� � %i _ ,��� • Utility Account No. _ <br /> Billing Address�! ,r _/' _ �` � �, Permit Fee -��c� �—_ <br /> Cit State, 2i � -"'"��� <br /> Y. p— -r �� •%+ �L_ ii^Connection Charge�s) <br /> I .. �•� <br /> Owner (Mortgagor) " � i Total Fee -� �> <br /> Bi',S-�g Name <br /> / , . <br /> Connection By--T'�-. - ! <br /> Address _ Signed I <br /> us�omer <br /> Phone f 7� • �/ 7 -— � <br /> DESCRIPTION: Sewer District <br /> Lot - � '� Block ''� � L <br /> Plat a ;' ,� / , Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> � <br /> Type Permit, ^ - �" ' Trunk <br /> �� _r'. <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line � <br /> ___ N, S, E, W ft. j ' <br /> � ' <br /> � ;/ <br /> Approved By � -�� � = ' - • <br /> Cfly npineer� � <br /> ; r <br /> Issued By '�� • = �' � � <br /> — I <br /> � <br /> Inspection � � <br /> o ---- Date Inspected���5 � � � <br /> SEE SKETCH 11TTACHED NO. i <br /> i,�. .. . r �, i, , <br /> � <br /> I <br />