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_ � <br /> J <br /> I CHART NO.��<I--�S— � I <br /> everett I �I�� ': T"-= '� ; <br /> --,c�. , <br /> P � . �`_ - � . : <br /> , <br /> a <br /> �� � <br /> CitY of Everett . � <br /> Engineering & Community Services <br /> i <br /> Sewer Application and Permit' �� �, <br /> � <br /> NO. � � 3G7 DATE � - '��� � <br /> -,.-;� y Utility Account No. <br /> $ervice Address= � , <br /> � Permit Fee - <br /> Billing Address �,^..�--- <br /> Connection Chargels) � <br /> City, State, Z�p ' <br /> Total Fee � � <br /> Owner (Mortgagor) <br /> i <br /> Billing Name <br /> Connection By '� '� ' • =� � <br /> i �.:-.= <br /> Signed � l c�tome� <br /> Address <br /> Phone � <br /> Sewer District � <br /> DESCRIPTION: <br /> Lot Biock Monthly Sewer Ser��ce— � <br /> I <br /> Plat Monthly Sewer Constr. <br /> Unplatted Description <br /> Trunk <br /> Type Permit: :- -g � Lateral <br /> Remarks: � . Abutting Lot Line ft, j <br /> ---��L�.�t'1--� �jlr'sr � rcr�cFt� N' S' E' W <br /> � i .(1[� �rC, -7�G12ti t A.dG(.4'�L /- 'S . � <br /> � �� •2I�e� Xi _G-s-a.�' . <br /> i <br /> _ �� ----- Approved 8V � <br /> City Enq�nnnr <br /> / r <br /> Issued By — <br /> -, <br /> ! � J,�� _,�„7�� J-+-t�� <br /> Inspection By� <br /> Datelnspected � h 7 � <br /> n N0. f' C :� li f <br /> SEE SKETCH ATTACHED , , _ � � � <br /> ^n, �'TY�� ' �. � .. ��yP _T^ <br /> . �a...> . . .t __ �. . . <br />