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! CHART N0.�6-��� <br /> i <br /> � evere�t r`_� <br /> �� � �� <br /> � � <br /> City of Everett � �� � � <br /> Engineering & Community Services a�� e�/1 <br /> � J�r <br /> ' Sewer Appliea'�ion arud P�rmit <br /> ! , � �_, ; , �r_. �a��� — <br /> N0. _ . DATE � <br /> Service Address �%J � �'�N� �T Utility Account No. <br /> � C(_� <br /> � Billing Address � ''�'�� �� �' €', �� � '�� Permit Fec_ "�� <br /> City, State, Zip <br /> �".�t_LEUuE.� r�.�,U• �����=> Connection Charge(s) <br /> i y- / , �O ��� <br /> ' Owner (Mortgagor) ' �'*'�'�� � `-�"'��"" �/ Total Fee <br /> J,�..,t-� �.,cs , a c <br /> Billing Name / <br /> � . <br /> �, Connection By � ��N��' � ��JA�G� l, ` <br /> � / .`�J-�� /�%� C`�Ti� �; Signed ' +. ',•Y ',�.t 'J ''� ' ; �;�� � <br /> ' Addf855 Customer <br /> i <br /> Phone ��� � - ��'/� 1 _, <br /> DESCRIPTION: Sewer District <br /> Lot �jU — Block� Monthly Sewer Service 2'� �� <br /> Plat Vi��.[J ,�=��04.E <br /> � Unplatted Description Monthly Sewer Constr. <br /> � — Trunk <br /> Type Permit: /��C�.LU ��✓NE_Gj/Gi�i <br /> Lateral _ <br /> Remarks: _. Abutting Lot Line <br /> N, S. E, W ft. <br /> � Approved By � � ' "E�N�'" �� <br /> � Ciry EnBincer <br /> �ssued By � . �,�J LLlJ�-I-�.).CJ <br /> Inspection By �y/C�C�d a-^ - <br /> Date Inspected ���J ,� <br /> ' � N0. , ,, , <br /> SEE SKETCH ATTACFIED - '" <br /> � Ir�;'f". �� il�`� � <br /> � i : w'% . � Tyl�'J f �.� '�_1,��.'= ".3 �_ < � _ . <br /> �..�r� ,,�_`3s]�t.�.a. .. �.�r , .,-' —_'--- ' <br /> � �_' , . ..., ' . . . _ ,-;. . , . ., .,. <br />