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. � <br /> CHART NO:a �Z-"�"� j <br /> everett � ` � , <br /> � ����� : � <br /> � <br /> 8- 8- 7$ � <br /> City of Everett ��� �V ; <br /> Engineering & Community Services • � <br /> S�wer Applicatior� and Permit ' <br /> , <br /> rvo. ? 2 3 4 3 DATE � ���' j� <br /> Service Address ��� � - � -��!=- J �==�' ` Utility Account No. �'��" ���" � v <br /> -7 ��� <br /> Billing Address �' � -�� • �� � Permit Fee �`� ', <br /> , � �.� <br /> -�j! �' . '� -" � /OU I <br /> City, State, Zip ' .��-� •' �-�l� -tr%�- 'r�'� Connection Charge�s)( , <br /> " o=� �' � <br /> Owner (Mortgagor) Total Fee s �� .•��_ ; <br /> \ <br /> Billing Name r T � • --� <br /> Connection By � <br /> •� ~ � c:__. �y \ <br /> // . �\ � � <br /> Address Signed /" ' <br /> , ustomcr <br /> Phone ��.�,:' - ,:iu� �. ��' <br /> .� <br /> DESCRIPTION: ` Sewer District �'� ��-'^-- � -�' - ' <br /> > <br /> � . .�- <br /> Lot Block <br /> Plat , ;j _ ,J Monthly Sewer Service , <br /> � <br /> Unplatted Description Monthly Sewer Constr. , <br /> ; <br /> < <. Trunk J . ..�� 0 i <br /> Type Permit: % � � _ �_�; i , _ i <br /> Lateral ' <br /> I <br /> 3 <br /> Remarks: f <br /> Abutting Lot Line 1 <br /> N, S, E, W ft. 1, <br /> � ; <br /> I <br /> , , _ i <br /> `1_. ' <br /> Approved 6q�V ' ' - - � <br /> Ciry Engineer � <br /> .� .. �'�. � � <br /> Issued By �' ' --�'"' -� � <br /> , <br /> i <br /> � <br /> , <br /> i <br /> i <br /> � <br /> Inspection B ' <br /> Date Inspected � —3l 7� { <br /> � <br /> o ! <br /> SEE SKETCH ATTACHED N0. � � �� " "' ^ ' <br /> ,. � .7 i <br /> �""'"i;TI O f�! i <br /> I�,.>, �--_ <br /> � � _ _�f.T� . ...�-�p-..- ' � _ �. � . . . . _ � ?Y� � � r�-., . .. � <br /> iw � :tl � <br />