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l �1� )# �ctiniT}# �'NTjd'���D <br /> i� � <br /> � � 22.5�7/ �F CHART NO.X 't %�J + , � _ � <br /> evereri � ' ' <br /> �;£=;�✓c�2_ ^ ;. _^ , <br /> e ��5��J � <br /> � �� -�f � i <br /> City of Everett � � <br /> Engineering & Community Services , �` � ' <br /> i <br /> Sewer Applicc��i�n Qnd Permit <br /> , : <br /> � <br /> NO. � lJJc� DATE �"� , " � /'% <br /> • Service Address `fv�r ��`t.�' '` ,..�tility Account No. ; <br /> ,,� r C,= <br /> Billing Address ='"'��• -% � � -v'��'� Permit Fee � � , <br /> City, State, Zip:__"�- -Gz • �����"G% Connection Chargels) �J` <br /> , . 3 o p� <br /> Owner (Mortgagor) - �r'" ' % — •+ -' �. ` . Total Fee <br /> Billing Name �--- / <br /> Connection By �— ; .� �" � <br /> � � � i <br /> i <br /> Address Signed ��f `) � {, / '. ►'��- i <br /> . Customer <br /> Phone - ' ''` �rr y �, ' <br /> DESCRIPTION: Sewer Discrict <br /> Lot � � = � Block -� ��� <br /> ., . � 0 ' <br /> Piat -''- -� �r� � ..- ��7� • Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> r T Trunk � <br /> Type Permit: -� �. , , .` ' - /r._:,� ' � <br /> Lateral <br /> Remarks: <br /> Abuhing Lot Line <br /> N S E W �'7..,..,;:/. ,/ ft. <br /> � <br /> r APProved Bq _� :u- " <br /> '�� � City EnBineer. �i f <br /> _ q <br /> Issued By -�1 . _ _'""'.-.� I <br /> i <br /> � <br /> � <br /> i <br /> Inspection B � -au"`� i <br /> Date I nspected �/ "Z�' � � � <br /> 0 <br /> SEE SI<ETCH ATTACHED N0. Z .'. : � : � <br /> INSPECTIOf�I <br /> I <br /> � <br />