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CHART N0._, / . � j =�., / ' . <br /> everetl `'� � <br /> " 7��,Si�/� <br /> e . , <br /> City of Everett <br /> �-� ��j <br /> Engineering & Community Services �� <br /> Sewer A�ppi��otion end Permit � <br /> I <br /> NU. � �.�.1L7 DATE ��' r ; i'✓ _ + <br /> Service Address=���� "� �%•�<--- Utility Account No. � <br /> � <br /> Billing Address f��^� ''%" � Permit Fee_ �U � <br /> City, State, Zip,:::__ %%, ./r . "^ 4� Connection Charge(s) --�"-� <br /> ' . -� ��� � '':--- <br /> Owner (Mortgagor) ' � �- 7otal Fee � ' <br /> � <br /> Billing Name - -L--^• <br /> Connection By :-- `__��_. <br /> Address �� �/�� / i y` i.;' � � - <br /> _�/.� Signed ' - <br /> - y <br /> a�z���„„� <br /> �/`._, �" {� � . . _ , f . i,--�.� <br /> Phone _. <br /> DESCRIPTION: Sewer District I <br /> Lot • = � Block -� � - - <br /> Piat:. � ` /.rJ,� Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> ; Trunk <br /> Type Permit: _ - � <br /> • � <br /> ' j ��. Lateral � <br /> Remarks: � <br /> Abutting Lot Line - <br /> �� I <br /> N. S, E, W -- .---it. <br /> , ; <br /> I <br /> � <br /> i <br /> Approved By� <br /> Cily Engineer <br /> Issued By ' - _�___ ___ <br /> i <br /> i <br /> Inspection B�i���� I <br /> —_ _ Datc I nspected � a� ' � <br /> o � <br /> SEE SKETCH ATTACHED �p, ! <br /> - .�/�..-� r� .oPEGIIOfJ � <br /> :���N�M����� .. � � ._.._ _ _ _ _ . _ - <br />