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everett <br />� .. <br />C?ty of Everett <br />Engine�ring & Community Services <br />Sewer +�p�alication and permit <br />, _, <br />N0. _. ,_ `; S,, j DATE �? � ' <br />Service Address �"� �. � ' ' L � ����` ��f �%(:Lr t� <br />Billing Address: '` ' I i_._ t---1 LTr t �' �-�-� <br />City, State, Zip IL�� r�.�i � r—i iA(tr.� ���2.+"�lA < C� <br />Owner(Mortgagor) �3�,': ' L--.1.�`'`�-�`��` � <br />Billing Name��-� L--_.,� ' `� � <br />Connection By =='F ��' � �= <br />Address <br />-'� `- - . % I_ . (-i <br />if'_ ,i--.� .._ _ . _. <br />CHART NO. � <br />Utility Account No. � �`/ �"1 �-��-� <br />Permit Fee <br />�::.��f - �' C'' <br />Gj_ f f � l'.' C.; <br />Connection Charge�s) <br />'�.i(.j. C�� (:,J <br />Total Fee <br />L.. _ _ <br />Signed <br />Cusmmer <br />rnwic -- <br />CESCRIPTION: <br />Sewer District =� ("��t' r� i� L <br />Lot _ Block — MonthlySewerService �`���-� � -�- �--'— <br />Plat _— — — _. .. <br />Unplatted Description �' L `�'� � 7...C` L- ��_ Monthly Sewer Constr. <br />.._ Trunl� " G� �� <br />Lateral �- •' � �-' <br />Abutting Lot,Line C`n � <br />N, S, �E, bV <br />Approved Bti <br />c�rv �„�i����,,,:r <br />Issued <br />� r .:' <br />Inspection B , �"_:- - ----- <br />Date l nspected����� � '� <br />n — <br />SEE SI<ETCH ATTACHED ;�!0 <br />