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A.�ora�v ¢k,�.c4- n. �- 7 ;� �-%�-2��� <br /> � , _ -. . CHART N0. ; <br /> everett . <br /> - „ �: ��J` r��� - , <br /> � ;� i <br /> � "3� �� ; <br /> City of Everett �� ; • <br /> Engineering & Community Services � <br /> 5ewer Application and Perfnit <br /> NO. C�3 8 Q - � . DATE ..���� � <br /> �r�� - � - �� <br /> Service Address r��'=''`- �c�«/ �T Utiiity Account No. <br /> Billing Address ��d� /�--"��'� �T Permit Fee j ��� [ U ; <br /> City, State, Zip�+liG'!-+S'tii�3/� �-�J.J. '���'/C.) Connection Charge(s) � <br /> E7C:� I <br /> Owner (Mortgagor)L�• ���a. ���H Total Fee ��' '" ! <br /> Billing Name L�'� � �1•�, G� ��CH _ I <br /> I <br /> Cannection By���'Y �LE ��SGC , <br /> lc,a2. JfJ-. �, f� I <br /> Address � �� Signed---�---.•,s � / ��/ I , <br /> '`—��� �177 c��o�, � <br /> Phone � <br /> DESCRIPT ON: 5ewer0istrict �"n+�Y/rfG.v�'> � <br /> .� <br /> Lot � � 'v Block '� ���'.��,� '..� I <br /> Plat '�� "'"� �` �"�� '"��S '7 , Monthly Sewer 5ervice_ i <br /> Unplatied Description fVlonthly Sewer Constr. � <br /> I <br /> Type Permit: �l.li � �,v � �. � Trunk � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> � <br /> N, �, E, W ft. <br /> APProved By`�- • �x:'���y � <br /> Gry Enpmeer <br /> � C+c�!GL / � <br /> Issued By � � �xI�f✓� <br /> Inspection By / �--- <br /> — i <br /> �� <br /> Date pnspected _ - � "- �_ ' <br /> SEE SKETCH ATTACHED Np, ' � ' .; �; +�} � <br /> � � INSPECTION <br /> � � <br /> i <br /> ° _ __ - - _ . _ .. _ <br /> i <br /> � <br /> i <br />