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No ToN ea.s�li C–Lc-� � . <br /> �c��r- .��r�ro c�h Kr- b ^ <br /> everPt� � 7-i�-��r �,�v.; CHART NO �. � � .- � ; <br /> � � � ` � � _ <br /> � � ,(� .. ' <br /> U.1�_.,. <br /> � G ; � <br /> City of Everett �/� <br /> � �- 2� <br /> Engineering & Community Services ///J - � <br /> lL � <br /> ., i <br /> Sew�r Application and Permit � <br /> NO. i_ �' J �` . DATE ��.. 1, r 1 �'J <br /> -•��. <br /> . ,� <br /> Service Address_ ����`' _ .� 1.��� . ,( f ` - Utility Acco;mt No.__ �"''� 3 -' ;: . . :� ". , <br /> ,. <br /> Billing Aodress !^� • � ti-- Permit Fee ..���' .--G <br /> _,/ ,! <br /> City, State, Zip__ ' i� :^ .s.' l( �'l� ConnectionCharge(s) z-/".� ""� <br /> � , . � .. _ <br /> Owner (Mortgagorl_� •' ', c. �.� �;�.-.-(__',:, - Total Fee -'��', . -�. <br /> Billing Name ..-�E'> i-- <br /> Connection By!"L - - �- ��:.�:-„�/ <br /> � �/ ' > � <br /> Address�' '�. 1 , . �!� .(� ,G , i� ., ..� Signed��'-...,v��/ (�f Q i <br /> ; ,.� � <br /> ;�r =r� > oufrome. <br /> Phone ->;�^ _ ? � i ti~ <br /> DESCRIPTIO^!: Sewer District_f� �� , � � <br /> Loti ' Block „ ' <br /> Plat % ;F ( Monthly 5ewer Service <br /> ��'` '' Unplatted description Monthly Sewer Constr. <br /> Type Permit: Trunk ��� .� <br /> 7 " � - .. <br /> ..,.,, Latera I <br /> Remarkr. <br /> Abutting Lot Line ! <br /> N, S, E, W ft. � <br /> � <br /> i <br /> . . j <br /> =' � <br /> Approved By /<��'>. � r � <br /> Ciry Engineer � � <br /> r . � <br /> Issued By � ' -t-i%!n.�; <br /> i <br /> — � i <br /> Inspection By E� •' 7C� , <br /> 3 � / � <br /> � Date Inspecte� � �� � � <br /> SEE SKETCH ATTACHED N0. ` E� <br /> �.- h iP!SP[CTION _ I <br /> *, .N '� �.F' � (� ' <br /> . . . .. � . ._.�. ...>:1'.�._ . .�J_. ._. .. y 1 'K4 ty... . . . <br /> - _. . . _ . -i�c. . .. ..___ . . . � <br /> � <br />