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CHART �- �I�9—�,�� <br /> everett � <br /> oS%�� <br /> e � _ <br /> � z��� <br /> City of Everett <br /> Engineering & Community Services <br /> Sev,r�r Application and Pe�rmit <br /> NO. `� 2 � � � DATE � � ' <br /> Service Address' `� � - � � ' �� � �- � Utility Account No. - � '- ' `� � ` ' <br /> Billing Address - �` Permit Fee � � <br /> . . - .__ :' ..._. • � �f <br /> .. � <br /> CitY, State, Zip l '" �-_..:- � r % {`--�' " = ' Connection Charge(s) � ' f < + i <br /> � <br /> �, . , <br /> Owner (Mortgagor) � -�- �- � � F Total Fee <br /> Billing Name t , ; ` �_ ; � ; G � ' <br /> Connection By ` r ,. �. ,�_ ,-, , - <br /> Address C r? �.-'_ ' �_ Signed . _ �� , . <br /> Customcr <br /> Phone _ ' `i � <br /> DESCRIPTION: �e��ier District � <br /> Lot Block � <br /> Plat ; 1, ; � , , , - � <br /> Monthly Sewer Service_ <br /> Unplatted Description _Monthly Sewer Constr. <br /> ._j .--'. L.; j- - (- i �_ � f ...i_;.. l=' �- i <br /> Type Permit: l"runk <br /> Lateral_ I <br /> Remarks: ,. � L , , <_., c . �_:t_c r Abutting Lot Line � <br /> N, S, E, W ft. � <br /> � <br /> Approved By '�- •. <br /> Ciry Engineer <br /> r' '� <br /> Issued BY '--: t_ ;• r ; , ,� : <br /> i <br /> Inspection B G I <br /> Date Inspected ��l '��� i <br /> a <br /> SEE SKETCH ATTF,CHED N0. �_ l ' I <br /> - .,s�. ,;�.,.. ..=1'i_C.IIiJ'�: � <br /> 2: <br />