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CHART N0. � O-2 - ' <br /> � everett �o .7 / L' � �3 <br /> � � <br /> City of Everett <br /> Engineering & Community Services <br /> � Sewer Application and Permit <br /> NO. � 1��03 DATE � ,`� � � � � <br /> Z� , <br /> Service Address - � � �"- �'''''' Utility Account No. <br /> Billi�g Address - ''`�"'' `=- <br /> Permit Fee �� �� - <br /> `. f__�. 4.,:�- �' f i Connection Charge(s) <br /> City, State, Zip , <br /> .t.� � >" � , ; > >' Total Fee /� /(: .�;r <br /> Owner (Mortgagor) " -�� f � <br /> Billing Name <br /> Ji l.v/� <br /> Connection By �'� ` ' �� �' �"'L �`�� <br /> Signed �� ��ic... �'��': Oj/`k't� <br /> AddfOSS customcr <br /> Phone <br /> i ��� '�.�.�- Sewer District <br /> DESCgIPT10N: �... <br /> Lot �" •� % U Block ' ' ,,��T ,2 i :i i Monthiy Sewer Service <br /> Plat �'�. �,, , �`.,,.;; , i � _ <br /> Unplatted Description ��* � ��" ' Monthly Sewer Constr. <br /> I Trunk . <br /> I ; <br /> � TYPe Permit: � . L.; ��%.r_ <br /> Lateral <br /> Remarks: utting Lot Line <br /> Lt� f A � iXcat-�-.,�it c� N, S, E, W ft. ; <br /> � � . YL // . � /. T. ti��J <br /> � <br /> �i t�� <br /> I <br /> ; � i �j ,�.. : , <br /> Approved By <br /> � C�tV Engineer <br /> , � <br /> � <br /> � Issued By � =�r � �-i i. ��: ' <br /> � <br /> ! <br /> I <br /> j Inspection By Ca�-'���`�"_"�"'�— <br /> 1 Date l nspected �D — 3 - y ,� <br /> I ° N0. <br /> I C� SEE SKETCH ATTACHED <br /> i tr!�f��cnori <br /> ,� .. �:., ._ <br /> -�, <br />