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� <br /> , <br /> . . u: .. :,_ - ,- �,,, <br /> � CHART N0. � � <br /> ; everett <br /> ; � �as T�� <br /> ` City oi Everett � ` � � ~ � � <br /> i Engineering & Community Services ���� ��. <br /> � Sewer Application and Permit � <br /> � <br /> � <br /> I N0. � DATE -��-'�� �' � � <br /> I - - <br /> ,� <br /> I Service Address ���'� � �" Utili!y Account No. <br /> I //� <br /> �� Billing Address��G. Z �d i/ Permit Fee l � <br /> � , `�� <br /> , City,State, Zip�t . � ,:t�. Connection Charge(s� _ <br /> . , <br /> � j ,_ ��� <br /> ! Owner (Mortgagor) - - j - �� � Total Fee_.__ _ __ <br /> ! 8illing Name �� <br /> � Connection By= --' _ _ <br /> � <br /> Address Signed _ - _ • <br /> —�:�„��,���, <br /> i � -� � - �/��� � <br /> . Phone�� <br /> � DESCRIPTION: Sewer District_ _ <br /> i <br /> �oi—L�"34 Block 3 yF � <br /> � — •-- � _- Monthly Sewer Service / — <br /> � Plat - - <br /> ! Unplatted Description Monih�y Sewer Constr. <br /> I -�- Trunk <br /> � <br /> Type Permit: ..��,�p- � ^„_, � � <br /> iLateral <br /> I Remarks: _ <br /> Abutting Lot Line , j <br /> i N S E W '.,,. , � tt. <br /> i <br /> � <br /> I __ - <br /> � Approved By � <br /> I . � C�ry Eng�neer <br /> � Issued By ' — r __ <br /> I <br /> � Inspection By �� t��ls_-" — <br /> p �Date l n;pected �� -- <br /> SEESKETCH ATTACHED N0. <br /> :�, . _ <br />