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� CHART NO.�O' • � �� <br /> ' everett � c, � . <br /> � � , <br /> ,� , �. <br /> - ��_ � o <br /> �' -vl'✓J'a...i?ii�� .—Y�-?.. �� '� '� 7 � <br /> � .! �_. � :- �) <br /> ; City f Everett //� L � <br /> ; Engineering & Community Services ���•�� <br /> i <br /> ! Sewer Application and Pern��t <br /> ; <br /> � <br /> � <br /> N0. `i' i r_ �.) •� DATE _ -. . <br /> i Service Address ��'% "� / Utility Account No. <br /> i � <br /> Billing Address Permit Fee �`"' ` � <br /> , City,State, Zip �� /° � � `� Connection Chargels) <br /> Owner (Mortgagor) - - - %�� � -' Total Fee � � '- <br /> Billing Name <br /> iConnection By � . <br /> � <br /> i Address Signed� - ' ' i <br /> i Cuslomer <br /> I Phone _. <br /> f <br /> � DESCRIPTION: Sewer District <br /> ' Lot - �� Block - " = <br /> 'f Plat � (._ " ' �/, Monthly Sewer Service <br /> ! Unplatte� Description Monthly Sewer Constr. <br /> I — Trunk_ <br /> i Type Permit: � <br /> � Lateral <br /> � Remarks: ' <br /> � , ,7rt.uL • S . C.v-.-�+-L. �O Abutting Lot Line <br /> i - 2 _c �CL. w �-1 � � /� N, S, E, W ft. <br /> � .� � <br /> � <br /> i • <br /> �� Approved By�� '' � <br /> { Ciry Engineer <br /> / <br /> Issued By " <br /> � <br /> � Y � <br /> L�C ' / <br /> 1 ' /'� <br /> inspection By � �'�c.� �"'�"�'y�tr'"` <br /> Date !nspected '-- � - 7' 'Y <br /> 3 <br /> , n � <br /> SEE SKETCH ATTACHED NO. _ ._ _. . <br /> - ,�._.�_. - . I, , _ - <br /> .... . ..,--A � �� .. ,.--I� y�5�.-. �'.��" <br /> . .' . . .. .. . . :" �^'r..fG"��..-I.^� . I ,�T ��;,,yL�..�� .p.' y . <br /> _ - _ ".FY,.'� ��.. <br /> � � <br />