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� evereM. <br />' � <br />� <br />' City of Everett <br />� Engineering & Community Services <br />; Sewer �4pplieeatc�n and Permit <br />cHaRT r!o. � �!?—�Gv .�t�' <br />��' S / G=�� <br />( —�t7--�� <br />��G.�"S , <br />NO. — � � � UATE — %- �� , � <br />Service Address�%� � = . � ! ; — � � <br />� — Utility Account No. <br />Billing Address ) <.- � i » � ' �, " Permit Fee ' ,--.,,,,,;i:+ ��� <br />Ciiy, State, Zip Connection Charge(s;_ <br />Owner (Mortgagor) 4� � <br />Total Fee <br />Billing Name <br />Connec,ion By r ...f.r ! -� <br />. �, � i <br />' Phone <br />� <br />DESCRIPTION: <br />' Lot <br />� Plat <br />i <br />Unplatted Pescri <br />Block <br />TVAe Permir. ' <br />Signed__ �' <br />..vslomur — <br />. � <br />�• a <br />_, ;,�� � <br />{v, y � _ .:,,_ �7 ,;.i� <br />Sewer District__ <br />Monthly Sawer Service_ <br />Monthly Sewzr Constr. <br />Trcnk <br />Lateral <br />Abutting Lot �ine <br />N, S, E, W <br />_. - . <br />Approv?d By -',% <br />� City Engmucr � <br />Issued Bv ' ' _. <br />�'`'� �� /,, _ j��. <br />` v""' �'"! . <br />nspection By � _ �1,�TDo/ <br />)atelnspected <br />� :r i ic,� � <br />NO. „ ' <br />f�j�'�,�,""9@�'—'pJ"W±"ii`"}�.',�s�-•e-.. ,a� <br />� Yi <br />` . <br />