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' <br /> CHART N0. 4a •..l� �«:'; _ �- � <br /> everett <br /> r <br /> e � �� ���� � � � <br /> .,,, f. ; <br /> City of Everett ������� _ � <br /> Engineering & Community Services ` <br /> Sewer Application and Permit � � <br /> / ' ' <br /> N0. � �' - ,_' � DATE � ' <br /> Service Address-���o � �_r.`ii!` Utility Account No. ! � <br /> � � <br /> Billing Address � Permit Fee - �r'�'- - - __� j <br /> City,State. Zip Connection Chargels) '`�— ` � <br /> Owner (Mortgagor� Total Fee '-- '=-- � � <br /> 8illing Name . � <br /> ;'.+ " '� /. , a � <br /> Connection By�1.�� ' ;' �� . �-•.f� � <br /> i% ' I <br /> Address—�� � Signed,� -_4:e-�� y;i-,. �.. :� . ' <br /> :.- <br /> Customer � <br /> Phone <br /> — ; <br /> DESCRIPTION: Sewer District_ � <br /> Lot Block � <br /> Plat • <br /> Monthly Sewer Service ! <br /> i <br /> Unplatted Description Monthiy Sewer Constr. J <br /> � <br /> Type Pe��mit: �(i ;�„� Trunk � <br /> { <br /> Lateral � <br /> Remarks: �;r� <br /> Abutting Lot Line - � <br /> ��� .��� � �� � r�l // ,:G-`_ N, S, E, W. ft. <br /> % -�. - ' { <br /> _ �:_ � � <br /> i-:',., ,. � _ .� � i <br /> � � -� Approved By - %�;'" <br /> ; r"� . _ � <br /> — � � CrtV Enpineer � / <br /> l <br /> Issued By �" -� - -_ � { <br /> � '!% � � <br /> Inspection By '�. 7 {� <br /> Date Inspected_,'" ' .-� � <br /> Q _ , <br /> SEE SKETCH ATTACHED N0. � <br />� ' �_'i l� ,r�� j <br />� ' _.. _ r ., , ,. <br />�, i...�-.wwwa..�..��.�.:n��_�a.. — t . ..v�F?,+a�: `i�Li.>:,a.d'i" a..7.�' . <br />