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CHART NO. � � `�� �"� � � <br /> everett J � <br /> � r ) ' <br /> r <br /> fff���'''((( / � <br /> �/ <br /> City of Everett � ' � ti� �� S ' I <br /> Engineering � Community Services � j <br /> Sew�r i4ppiication and �ermit ��� � <br /> ; <br /> NO. DATE � �' iI J� -- - �' <br /> I <br /> Service Address �� ��-�` !G�• �Jy-�iJ[.:y(!/� Y Utility Account No. � Z- �r f� � � — i <br /> ,�. F�o..'�:��. � l�i,;ii,��T l,L.r�T �Q C�Ci � <br /> Billing Address�-_�-f:� " !F`- f'�- �)�( Permit Fee ! <br /> City, State, Zip ���- �� 1"l-�- �=- ��� �� � Connection Charge�s) G ���' G L '; <br /> �--� i LU � <br /> Owner (Mortgaqor) ��, ����i�T Total Fee ��� ; <br /> Billing Name ��� � ��`�T 1 <br /> � <br /> �.(.>�.. ! I <br /> Connection By G� �ati'�� j i' �l-' <br /> �(� . ; <br /> Address �� �. ��+� � �✓ � Signed X-�� .l.�'-!�� �� <br /> � Customer <br /> �ih'i.JAl�iU.�•-�� �:£� 3L'� , <br /> Phone ��=�'7- �'G Ci � p <br /> '�: <; - U 1 - G-E.- G� - /-1 1 - 'G7.'T c B '7Tr— <br /> DESCRIPTION: Sewer Cistrict "-'> �-=? �C�,��� �L.1L <br /> Lot Block Monthly Sewer Service ���-��-��� � <br /> Plat ' <br /> Unplatted Description Monthly Sewer Constr. <br /> <� r_- <br /> � t:-. ` �,�^' -' - Trunk ��, .� � <br /> Type Permit: ,t��, � � � ,viv�c.Ti f�J • <br /> -, � Lateral /�, �' �' <br /> � C-- ' I:.� � - <br /> r , <br /> Remarks: Abutting Lot Line =, G <br /> N g, ��NI °� � f ft. <br /> , <br /> Approved By � �f'l�i::',l i/ r✓L/ <br /> � Ciry En9inecr <br /> Issued By v C�S t�a-N I.�:J�v ' <br /> � <br /> � ` <br /> Inspection By 1 �� , <br /> Datelnspected � ��C' -✓ / <br /> [� <br /> SEE SKETCH ATTACHED NO. 1 ' <br /> INSPECTIOId <br /> a�� <br /> �,.:_ . `.L..�._ ,._ .. - „-a+,:_.._ __, . _w _ „ _ . �.� <br /> 1—__ <br /> � � e <br />