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,r <br /> CHART N0. `-' <br /> evcrett I ' . <br /> .-� � • <br /> � `•-� � <br /> � �. . <br /> c•v <br /> S" '�� <br /> City of Everett • �. ; ::� <br /> Engineering & Commwiity Services ' ' <br /> 5e���r ���lica�o��t cana Pereni� ��� <br /> , . <br /> �. <br /> No. 2194 5 DATE � '�_ <br /> Servicc Address �J �`•> ��%z��'?�' ��� Utility Account No. <br /> 9,r_- � �{ ,� �f � <br /> Billinc� Address --r �� - ����'� ^w� Permit Fee �`� � <br /> t- <br /> City, State, 7_ip �-L'��-"`7T �'� zd� Connection Charge(s) <br /> /� �.�! <br /> Owner (Mor.gagor).��� f-/ �- /Z Total Fee G � �� <br /> Billing Name �/�/!— , <br /> Connection By ���/v�L� / � <br /> �7 i <br /> �/ y� i <br /> Address Signed��� u'"''�'f''! � !*. --�/ � <br /> [f �, L/ Customcr <br /> Phone�� � r •�� <br /> /����-��iL"1 � <br /> D[SCRIPTION: � • Sewer District � <br /> Lot � � -� Block/�� <br /> Plat �� ���L-��� l�iJ /.:/� /5 r , Monthly Sewer Service <br /> Unplatted Description _ Monthly Sewcr Constr. <br /> Type Permit: �� . . Trunk . ^ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By � • ���7%(�/�L7— <br /> Gry Enpmecr <br /> Issued By � .��-l��A/�L� <br /> " Inspection By <br /> ____,_ Dateln;pected <br /> e- <br /> SEE SKETCFI nTTACHED N0. �' .'. �' ' � <br /> , _ .____ _.___.___ . ..._ .---- .. �_..j II•1SPECTION ,._—___..____,_�. - .. •_�,,.,,,,.---�•- ' •,....,,...,. <br /> .-c.. <br /> . - .�.�......��.�.u��.. ._r •. _�..:. . . �._...�i����=�.�.p'�.i:�-f.'=-.:3�.'.ru......C..2..�.. ' �.;� ...4�:w ^ - .Ga.1L �•'3�.. i <br />