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- , <br /> CHART NO. K z�29 j - <br /> evereH �� 7'� <br /> No �-- L�� '� �`'�` ��� <br /> �j _�y�79 <br /> City of Everett //V� <br /> v,,.-.- <br /> Sewer Application and Permit <br /> NO• Z3OO1 DATE �;_ ") � r ' <br /> Service Address r ' ' '-'`-' - '� Utility Account No. <br /> i (� 1 <br /> ,�'� - <br /> Billing Address� t '� ' ' � _ Permit Fee ` <br /> __r- <br /> City, State, Zip <br /> ( � , , ; � �- 'r., '< '� I., Connection Chargels) <br /> , <br /> c J <br /> Owner (Mortgagor��` � `""'� ^ -` L -��-`—r« Total Fee <br /> Billing Name� - •-. , _ .��_ e ; --.. _� C_ � �_; :r._ <br /> Connection By � i- ' ` ; �' � � , _ <br /> ��• , i l -1 Signed ' '' _ <br /> Address i � t - � cu:,omer <br /> Phone I 1 �= � ' �`*'�7 ' <br /> � <br /> DESCRIPTION: Sewer District ` '� � -`�` `�• ' <br /> Lot � �- � Block " Monthly Sewer Service �' ���--' L--"` `-' ' <br /> Plat - �. . � �_— <..�_ T <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ��i_..�. �._:� _��. :_i. r � ..� <br /> Laterel <br /> Remarks: Abutting Lot Line <br /> �J P��lir�. N, S, E, W ft. <br /> 6" <br /> Co.dc.K4��E. <br /> �� O �c I� <br /> Approved By �_ ` _IL_ , i ,._ � � <br /> City Enginccr <br /> Issued By �`-- � � �i c�n i . • :�.� <br /> ` � � � <br /> Inspection By • ° I <br /> Date lnspected b " � 3 - �� <br /> SEE SKETCH ATTACHED N�• Z3OO1 <br /> � <br /> INSPECTION j <br /> I_ <br />