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CHART NO. • � � <br /> � �i � „y� <br /> everetl ���� �r� <br /> � <br /> � e z _ �,s'- ��' <br /> City of Everett Il�e"— " " , <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. C � � � ( DATE .� I <br /> � <br /> � - �� - � �� ; �, f"` Utility Accowrt No. J y� <br /> Service Address � <br /> Billing Address <br /> �� � !1 -� � . .�v �;,/�%Permit Fee,_�'�J��l <br /> ,-/�" ;,��:� '� r' ; �� Connection Charge(s�_ <br /> City, State, Zip ' � _, ,� i- <br /> ." � � �"�_ ;J Total Fee <br /> Owner IMortgagorl � �' <br /> ✓ <br /> Billing Name /' <br /> � <br /> Connection By - • ' <br /> ._ ./ ) , y — <br /> Signed Customer <br /> Address_---- <br /> i J � � �� � ��. <br /> Phone.— � � ,/ � <br /> Sewer District � <br /> DESCRIPTION: � _ � <br /> Lot ' �'� ��'�` Black � ` Monthly Sewer Service <br /> Plat i " -1'_'�-f� <br /> � - Monthly Sewer Constr. <br /> Unplatted Description_� <br /> Trunk <br /> Type Permir. ' /.. •., � <br /> � <br /> Lateral <br /> Remarks: Abutting Lot Line � _. ' <br /> N, 5, E, W�=--�/-- ft. <br /> � <br /> � �_ <br /> IAPPfnVed �/� Ciry Engineer <br /> � ISSUed BY `� <br /> I <br /> Inspection By ��� � <br /> � _ � Date lnspected �2 � � � <br /> y N0. <br /> SEESKETCH ATTACHED � <br /> I � <br />