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- <br /> �--� N� `. .:7— j— � � <br /> everett N'�` ��- !7- 7:� CHART NO.sy'—/s--�-.� <br /> � ,I / ' /� - 7y .: : <br /> 3 — � - � � , <br /> S%: <br /> City of Everett � �y' <br /> Engineering & Community Services <br /> '��'' � ( � <br /> ;7�..-. <br /> Sewer Ap�l�eation c��d Permit `� � <br /> N0. . DATE .�� v` .' , <br /> ,t. <br /> Service Address � ' �` Utility Account No. " <br /> � _. _ <br /> Billing Address '-'•' -' Z �`f -= -�' �i Permit Fee �:? 3� " <br /> City, State, Zip_ -�'v: �-,. <.,�-'T:� /i:.;.3/ ��j(�'�;o Connection Charge(s) �` ' r <br /> , <br /> . . <br /> i .: J <br /> Owner (Mortgagor) ,j-r:':<:.F.4; ��� v �.'� r' > . <br /> , <br /> , � ���Y f TotalFee �%-- <br /> Billing Name ��� -..� <br /> tl <br /> Connection Dy �-� �` _,... ,..- _�j.� <br /> Address Signed i r- • <br /> Phone �? � � ' `f `��� c�scomcr <br /> UESCRIPTION: Sewer District � <br /> Lot % `" Block — <br /> Plat—_: ��.��... _ . ;`�6.� ' MonthlySewerService_ ;: __________ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> . <br /> , __-___ <br /> :. ,_'�.�,....,,., Lateral <br /> Remarks: <br /> - ., „ Abutting Lot Linc <br /> .fi.. .�1'' �f" ..�� .�.c;; ,!, i- L <br /> ; ,.. � N. S, E, 1V- <br /> ' ' ,• . <br /> � <: .i _ _ _ --ft. <br /> .., �-.. "?..�' <br /> .,•; ,, <br /> Approved By <br /> Gty Engineer — <br /> / � <br /> �S;IIL'({ [;)(__—_ ._ ... . ' � � <br /> _ _ �� �f15puCllO�l �y'_..��.���_—_.._ — <br /> ;�_ .__._____ __ _._ Date Inspected,_��� �� <br /> SEESKETCH ATTACHED NO. ' <br /> ��1 I _ , <br /> �:. ., . rt�,sta�.:,�.� <br />