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_ � _. . .. , <br /> everett CHART NO.� -�6- -- ! <br /> � 1�0 � T �C� <br /> City of Everett Z � a� � � <br /> Enyineering & Community Services , <br /> Sewer Application and Permit P3� � � <br /> ; . <br /> No. -� ^ ��L C ��a.��'� <br /> DATE � .- - :i ;7.J <br /> Service Address - � /�J : _.J. ,�,�,( I <br /> Utility Account No. <br /> Billing Address �, <br /> � Permit Fee � :- <br /> CitY, State, Zip ��,��� ��s ,��;���/ ' <br /> f� � Connection Charge�s) ; <br /> Owner (Mortgagor) �-�-,*-C�<.0 � .s�.��� -.0 � <br /> ` Total Fee Z '_� <br /> Bllling Name C�, ,,.•., � <br /> Connection By .!- ,.!'" <br /> r <br /> A ddress ' <br /> Signed ' '� <br /> f IlUf10 .�Customer � <br /> DESCRIPTION: <br /> Lot ='_�� ��;; r 7g�ack (-. �=` Sewer District ; <br /> F '� <br /> Plat �'�--`.,f'� MonthlySewerService <br /> Unplatted Description <br /> __ Monthly Sewer Constr. <br /> i I ype Perrr�jt: <br /> — Trunk <br /> „ �- ".f..l�_.� .r ' `./1 � '. <br /> Remarks: y y �j--�— La[eral , <br /> ___ Abutting Lot Line ' <br /> , N, S, E, W <br /> - — ft. <br /> f'� � . i <br /> __ Approved By � -�.li., , <br /> _ Qry Engi fer �, <br /> .� r ' r� <br /> Issued By /"� ij/_r,f':{� ,✓ i <br /> Inspection By � ,�,�� <br /> " Date InspectedJ C7 -a 7-�,� <br /> SEESKETCH ATTACHED <br /> INSPECTION N0. . <br /> n ` " - ,. <br /> t..... . . . ::,.�. . -...� ��...e <br />