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-.P � <br /> evereri . cHaRr rvo.aSl��� ��Q► <br /> � �s s T�� . <br /> U /- 6 - 7 ,� <br /> City of Everett <br /> � r-. <br /> Engineering & Community Services ` t <br /> Sewer Appl�cation and Permit � <br /> N0. � !' r� ;i I DATE - i'' i . <br /> �; <br /> Service Address �ty�� �' ..� _ 7 � . Utility Account No. -' - % ` �= `i- �' !� <br /> Billing Address �- ���> < - r' - ::> Permit Fee : ;' "" <br /> City, State, Zip '� �:t: J i� '�� Connection Charge�s�_ .-`ri i �� <br /> Owner (Mortgagor) �,�,._. ' <br /> � ,, � Total Fee < <. � <br /> I Billing Name __- <br /> f <br /> � Connection By . .... <br /> Address Signed�"� <br /> Phone '�-=�__ �7' -� ' ��/ Customer <br /> DESCRIPTION: Sewer District <br /> Lot -� Block <br /> Plat � Monthly Sewer Service - s` ,'J <br /> � Unplatted Description Monthly Sewer Constr. <br /> � Type Permit: �' - � � Trunk ; G' <br /> � Lateral I <br /> � Remarks: <br /> � Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> i APP'oved By . ,%" <br /> � Ciry Engineer <br /> I <br /> t Issued By - / <br /> I <br /> � <br /> i <br /> I ,/ <br /> � Inspection By_1e���t-e`� <br /> � o �- Date Inspected_ l�l`�/77 <br /> � � _ EE SKETCH ATTACHED N0. <br /> � IN5PLC1'IOPI <br /> � <br /> � <br /> —c _ <br />