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�� <br /> , <br /> , I - � <br /> CHART NO. ^' <br /> � ;� i <br /> 1 everett �(Jr ,� /: �� : � <br /> Z - T 43 ��' <br /> e � s � , <br /> City of Everett � ` � <br /> /�C'�: i <br /> Engineering & Cammunity Services � <br /> � <br /> p Sewer Application and Permit - ! <br /> ; <br /> I i �,' � � <br /> � <br /> rvo. 2 2114 DATE ' <br /> 4 %� <br /> Utility Account No. <br /> Service Address v <br /> ,'-;��-'�`:�"� L •:;L-_:7�1��!L--C�IJ �(Ji� PermitFee :% <br /> Biliing Address =f , " <br /> '/'G2 � !/c��K �'" Connection Charge(s)�------- ! <br /> City,State, Zip , y �r z� I� <br /> !:'r.,t)?�t t�. ��J�� � � Total Fee � <br /> c-�;;.� ;. .. i <br /> pwner (Mortgagor) _ r- ' I <br /> l��� �� L.U71-:.L��C���'E'-' � <br /> Billing Name � )�� � <br /> ��L-.)f i �.,C�Zk-f /S� 5 <br /> � I, <br /> Connection BY ,��,� ; t , <br /> Z ' kr�1�/ C'�L- - Si ned<'-�• ' �. <br /> 9 , � ����yomer..,: -� <br /> � j� , ;' �'•` i <br /> Address � . <br /> !/"7C� '� �Z.c.•� �_�-,r,-�i:1L— �I� <br /> Phone <br /> -�c{%- ?,,L�� Sewer District__— `� <br /> DESCRIPTIOM: '� <br /> Lot._-- Block� Monthly Sewer Service <br /> i I <br /> • Plat Monthly Sewer Constr. I <br /> � Unplatted Description 7 �,`-.'���i1:. � <br /> 1�c:.L,1-r•. <br /> F;' Trunk �I <br /> ' -- <br /> Type Pertnit�.-�� � ����� Lateral �i <br /> ` t Sr.c�u-•• , <br /> I Cyo-^,Li F=�LT L:}.) ` <br /> ' Remarks: � C_- �� C"' Abutting Lot Line ft. I <br /> t N, S, E, W— i <br /> i5 � i,-N � � ' � '�� <br /> ! // � � I <br /> i �:yl/'� G���'`"'�` ApProved BY � . �?�lE7��teC^�-r '� <br /> � I <br /> ! �lL✓Lm�'at �-f.� �Llv��1�`�l �� Issued By ` ,,` � c (�r ! �..x�J ! <br /> ' <br /> i <br /> I <br /> I �� ` � � � <br /> �. Inspection BY <br /> 2 7 �� � <br /> Datelnspected <br /> r, , � !i <br /> a Nd. � /_ !. 1 `- <br /> SEE SKETCH ATTACHED �NSPECTION <br />