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i a � �� CHART NO. V - :,� �, �t <br /> i <br /> everett <br /> . b NUr /IJ GON �. u- '., �.. <br /> � �?� �� ;�' ,r/"' � <br /> � �QyiJ'�^-�` <br /> City of Everett �_��_�� <br /> Sewer Application and Permit � <br /> NO. 2�18.3 DATE �5�.��q__ _ <br /> Service Address `�� 2 (� �x�/ /� /(��`s .j����ity Account No._ <br /> Billing Address Permit Fee__��,�- -�- '"" <br /> Ci'y, State, Zip Connection Charge�s) <br /> Owner (Mortgagor)_ _ Total Fee �' 'S —"-�'' ' - -' <br /> Billing Name_ <br /> Connection By�Lj,-�� ��1 '� <br /> Addre�s � Signed '/t'�`hJ �f'/�!/� .1S�i' <br /> cu:mmer <br /> Phone <br /> DESCRIPTION: Sewer District ___ <br /> Lot Block <br /> Monthly Sewer Service ___ <br /> Plat <br /> � Unplatted Description Monthly Sewer Constr. <br /> I <br /> Trunk ___ _ <br /> Type Permit:v � <br /> , ` Lateral <br /> IRemarks: <br /> Abutting Lot Line <br /> i J . 1 .� l� . /. '' �•.. , , � , f : N S E W ft. <br /> �./ =�� ` � .l <br /> � / � `:i � i/r r r < ,_„ - i � <br /> i _, r` /�L // - i� �l <br /> � APProved By � �GC-yti_-�c:. , f <br /> � <br /> i City Engineer <br /> � � <br /> Issued By �-�---�3''� ���� ��' <br /> I ' <br /> j Inspection By <br /> �,,:��/>>/,�_, . ,,. r�- <br /> IDatelnspected � - i- 7�% <br /> ISEE SKETCH ATTACHED N�• 2�Z$3 <br /> ' W SPECIlOri <br />