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� everett CHART NO. � �� ✓�� � <br /> I <br /> , e ����:� _ <br /> ; � _,� �� , , <br /> � City of Everett <br /> � Engineering & Community Services � <br /> � � � � <br /> � <br /> � Sewer Apphcation anr� Permit <br /> � <br /> i <br /> N0. ,, ,� � !� `> <br /> i _ �: r' �; L DATE � ' - - - <br /> i a <br /> �� Service Address_`-�-v �`'� �"�x cJc_f_,�� /�� � <br /> r"'��=� Utility Account No. -'-� � � � �� ' ` `- <br /> � �.... � — L.'� <br /> � BillingAddress� � �>� ��-�T�� � S �✓ PermitFee ��� ' <br /> ICity, State, Zip �.:C-,IZ_f:17 ��� . �.�r�Z�. �`_, Connection Charge(s) � ��� C ��f��\ '�IZU/7E- <br /> ' Owner (Mort a or)C�LL ��kt_.C._:� -�U, vU <br /> i 9 9 � " Total Fee - <br /> � �- <br /> � BillingName c�J��rF - <br /> ' Connection By C-=�'���L- :'% � <br /> i �� ' <br /> , � I �,r� r. � ,�� <br /> � Address �.�..1�( ��u � �.. � � L(� � . ,J . f: <br /> Signedi'"._' . ���'' �/. i -� � - <br /> c.- <br /> _r � Customer <br /> � Phone_ '- - - c� tj `� <br /> f DESCRIPTION: Sewer District � 4 1--� u r� L <br /> iLot__ �-� Block 'v. . �.=� <br /> : Plat �' :c-�r C,cJC�C�G (.� Monthly Sewer Service <br /> � Unplatted Description <br /> Monthly Sewer Constr. <br /> � <br /> ' Type Permit: Trunk � ' Z V <br /> t � t_ti �G',t�,v� T�C).cJ <br /> � <br /> � Lateral <br /> � Remarks: <br /> ' Abutting Lot Line <br /> , N, S, E, W ft. <br /> APProvedBy�• ��GnJ.tJ/,(i !_� <br /> � Ciry Engineer <br /> ' � Issued By v ' ��S L G /J/�i-a!U <br /> i <br /> Inspection By / � <br /> � Date I nspected / �/ -.�c� <br /> 0 <br /> SEE SKETCH ATTACHED NO. .. ,` �: ., <br /> �'r`k� � r �,� � �5.�';�'� �P.'�I'�7:TION <br /> j ��_��.. i'E.- „I °q.�.'�-'k�".��'�"'e__ . <br />