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i everett CHART NO...S�������` '� ; <br /> <,��L ,: Y� ,�_�s� ; <br /> I ��s s T�� Q <br /> f � ' <br /> � . <br /> C City of Everett -^µ � <br /> � Engineering & Communiry Services , , <br /> , Sewer Application and Permit <br /> N0. Z 1 � _�. � DATE f � � Z� 7 7 <br /> ! Service Address �" �^1 -� r U �{" "� _ <br /> ' Utility Account No. <br /> t � r /� •_ '-'r�• � <br /> Billing Address �'` ��7 '�" � "� Permit Fee •^� <br /> City, State, Zip `=" .'� % 't� Connection Charge�s) <br /> � Owner (Mortgagor�=�.� �� 1`a �.1, _ r Total Fee '^�� ! <br /> � Billing Name i <br /> ( Connection By �`�^ � ' � �� -�� <br /> ! Address _ Signed <br /> Customcr <br /> ' Phone <br /> fDESCRIPTION: Sewer District <br /> i <br /> Lot - Block �" ` --' <br /> Plat ' � -� 7� •' �' •c j i � __ ",-/��4� Monthly Sewer Service _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> i�- �: <.' r� .�' Lateral <br /> ; Remarks: ` � <br /> Abutting Lot Line <br /> IV, S, E, W ft <br /> /1�.c..,`�r ��- . .�% �-� �S /' <br /> ��t- •-- ) C' 4c- � �'" . <br /> /��� ' <br /> Approved By �'.-�,✓ • .✓ � <br /> City Engineer <br /> � — _ �,y...�...-... . <br /> Issued By '_.� ' <br /> i <br /> � _ <br /> f Inspection By �� <br /> j Date lnspected z� / <br /> , o <br /> � SEE SKETCH ATTArHED Np. " . <br /> i i�;s�r_cri�i a.,.. <br /> i �rc <br /> , r...I),. ...K;. v.. . . " <br /> --�C. . " <br />