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. ._..w _ . : a <br /> ,-,--, r�' <br /> everetl c-� ' .�^n "� <br /> ��1 . 1^ ~ � CHART N — _ � <br /> � AUG � � �o�� y� /�n s � f-= � <br /> '� ; � � <br /> City of Everett �.. / — /��- � / I <br /> C� <br /> CITY � �v;::�rr'- <br /> Engineering & Community Services E��F;ir,,;c;;,,,; p_,�,� ` <br /> Sewer AAplication an�d Perr�i� /� n� -�c � <br /> �� �= V3s- z� - � , <br /> N0. C �J u � DATE (^ /</ - � <br /> / i <br /> Service Address �/r�f ,�-� /-'� �� � i <br /> -_._L 7�,+� L,t� � <br /> „ —�� Utility Account No. .3 �/ . .�/_ p�j ' <br /> BillingAddress_ � j j�y /,ti f� � <br /> � � -- <br /> Permit Fee j p a�'— i <br /> City, Statz, Zip :'�. / � �.�Q � <br /> —�"'�" �� J Connection Char e S °'`� � <br /> Owner (Mortgagor) .`", 9 ( 1 �SD � <br /> ' r'_::. � - • - �- i <br /> Total Fee ��U i <br /> Billing Name = "�:� vL` , <br /> j <br /> Conneciion By ��- ; <br /> � , <br /> Address j <br /> Signed � <br /> Phone � :, � _. -� J ; . <br /> /, Customer � <br /> DESCRIPTION: i <br /> � <br /> Lot' • /- /� SewerDistrict�� �r. /l � - ' <br /> —�— Block� ; _ <br /> Plat , '... . ,-; �_ � <br /> Monthly Sewer Service �'• SQ <br /> Unplatted Description i <br /> Monthly Se�ver Constr. � <br /> TYpe Permit: ''� ,.. � I <br /> - / f�-: _ %� -_ — Trunk ��� � <br /> � <br /> Remarks: Lateral �.:%. �;: � i <br /> i <br /> •4buttin � <br /> g Lot Line i <br /> � N, S, E, W ' <br /> ft. � <br /> i <br /> APProved By. ��� ,� � <br /> �--: ( <br /> Ciry Engineer . <br /> issued By ^ . J <br /> '� � <br /> _ , <br /> i <br /> Inspection By o �J • <br /> � Date I nspected o 3 O-�� <br /> SEE SKETCH ATTACHED ! <br /> � _ i,•,��Prc��nr,� NO. ' % "� �? q <br />� _. _:-is . .�_ _ � J � <br /> F <br /> � <br /> � <br /> { <br /> i <br />