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cHa,Rrrvo. � 3� -Z9- r ' <br /> everett - <br /> y�.s�,�� , j <br /> � � _ ; <br /> . �� <br /> �„ �;G <br /> City of Everett <br /> Engineering & Community Services �%� � <br /> 5ewer Application and Permit f� ; i <br /> � <br /> �:�. , <br /> N0. � `� �? O e) DATE � -� /`7 }- I. <br /> ServiceAddress , ��5 • -t=+-�+2- . 'i�t�,. UtilityAccountNo. I <br /> Billing Address +=�'��- �'��Y- S �� '� Permit Pee �' � � � <br /> � {�y � <br /> City,State, Zip �''•�L- �N< -''-��—.i ��.>-�- `1 � '' t^,� Connaction Charge�s) <br /> l � <br /> Owner (Mortgagor) � ��-��-^�+-�-+. � ./:-�^ •'� Total Fee ��' " <br /> Billing Name ��'-����-� I <br /> Connection By �',; �y :'. <br /> Y 1 <br /> Address Signed �`��' t�! �,���i�'�'� / � <br /> Cusmmer j <br /> Phone <br /> �• <br /> DESCRIPTION: SewerDistrict ?<% '''��`-`->-*'! ; <br /> Lot Block Monthly Sewer Service '� � J � <br /> � Plat a!'-?'-�—"—'-i'��' . <br /> Unplatted Description -`' i+ r" �• � Monthly Sewer Constr. I <br /> _ ' % r: ' i • �, - Trunk ; <br /> Type Permit: <br /> � - LatPral j <br /> ( <br /> Remarks: � <br /> Abuttiny Lot Line i <br /> N, S, E, W ft. j <br /> ' i <br /> � <br /> � <br /> , <br /> _ �i' j <br /> Approved By .`> %��•,' , i <br /> - Ciry Engineer . <br /> �' I <br /> Issued By, L��L� , : ,`:�.;.. � <br /> � <br /> � <br /> i <br /> i <br /> f <br /> Inspection By <br /> Date I nspected���o -�/� I <br /> n <br /> SEE SKETCH ATTACHED N0. '.� �' �-� � <br /> � IN5PECTION <br /> i - � <br /> V <br /> , <br /> � <br />