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� <br /> I <br /> � <br /> � everetl � CHART NO.�(p=�'7�� <br /> `'�..,...�Y /' �''-�� K--�� � r <br /> � '. J7,r_♦ ., . <br /> U �w <br /> City of Everett <br /> Engineering & Community Services � <br /> ` 5ewer Application and Permit <br /> . <br /> NO. � I ��J i� DATE _�4/7-7 <br /> Service Address a �'�'� C- ���-���'C�(� <br /> p I' Utility Account No. � <br /> ; Billing Address r � �J'� �?� Permit Fee �Z'�� <br /> City, State, Zip ��1�{�«•T�-Ll ��z-7`� Connection Charge(s) <br /> Owner (Mortgagor)�/�'�� �-' �� �-�1�r��1�C`��� Total Fee �L• t'Z`l <br /> � <br /> � <br /> Billing Name �f�"�'�- i <br /> c- — <br /> Connection By `��"" �� <br /> � •U t��r L�:Z�' � , <br /> Address Signed %�{/��l G( ' �-�=-v �-:�n <br /> j)�--f _ �',�J�� Customer . <br /> Phone <br /> DESCRIPTION: Se�Ner District <br /> Lot `-�� Block (,U ;Zw E`� <br /> Plat_�'�����-E- ��(4c � iS MonthlySewerService <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: .�`���� ( �(L Trunk <br /> Lateral <br /> Y�ftemarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �� ��_ GS �o�.`� .0 _p <br /> L_. --Y <br /> ,Q„ ��� Approved By- '�� ti�� <br /> —�t r Cuy Engmeer <br /> IssuedBy ` • �'JLG�J/i�L�/ <br /> Inspection By�--1�G2�ti'^� <br /> a Date Inspected_ ��G�77 <br /> i , <br /> SEE SKETCH ATTACHED NQ `, a; <br /> WSPECTIOPd <br /> _ . .;. _.. �_ . _... �wa , . <br /> -�._ <br />