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, <br /> 1 <br /> , <br /> , <br /> � I CHART NO � . '� --$-- I <br /> i <br /> � <br /> everett � � <br /> ; g - ? _ ' <br /> � e � �� <br /> � <br /> 1 <br /> City of Everett /�'`o � <br /> I Engineering & Community Services <br /> � Sewer Application and Permit � <br /> � <br /> � ,; <br /> : ; _ �- <br /> i N0. a . I DATE ,'' ' _ <br /> I <br /> IQ C < �� Utility Accoum — <br /> Service Address ,�.%�' <br /> Permit Fee 3 ' ' <br /> II Billiny Address � 7 "' - - - ~' " �_, — <br /> ,�� :j _ `J; ' % Connection Chargels) -"~' <br /> � City,State, Zip _ a ��. <br /> � � ; j. ; ;'. !-.}� ;� Total j �7 , <br /> Owner (Mortgagor) - � / , <br /> � Billing Name <br /> I /Connection By <br /> � ' <br /> Address Signed I <br /> / Custunr`r <br /> � Phone ���• y`�// � ,I <br /> I DESCRiPTION: ' Se ,District <br /> r- <br /> Lot�Z� 81 k '� y� "' ' MonthlySe'we�Service '� ' � <br /> Plat � .�. - '� l �"' , � <br /> i Monthly Sewer Constr. <br /> Unplatted Detcription � � <br /> � <br /> Trunk <br /> Type Permi . ;'j- r,� � {' --' <br /> �, Lateral <br /> Remarks: Abutt g Lot Line � ' <br /> N, S, E, W��_ '`,��-;•..,� ft. <br /> � ✓ � �� <br /> n _� a�a. <br /> , �__--� <br /> ( — �, � �„ APProved 8y' r.��v e�y���r. <br /> �� '' ! <br /> � ''� ' / �' . :�_ . <br /> ` / Issued BY <br /> � .\ <br /> i <br /> i <br /> � — Inspect on By <br /> Date Inspected <br /> I u N0. �' <br /> � SEE SKETCH ATTACHED <br /> , '��' •--�*,r�c I � � <br /> li � �' � <br />