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evcrett <br />City of Everett <br />Engineering & Community Services <br />Sewer ��ape�cation cand Perrv�it <br />No. 22167 DATE _''r��`l��C� <br />-.: j- �-��'i_" <br />Service ,�ddress - � Z'� { <br />Billing Address r�'�' r'�C x! '�'-, <br />CitY, State, Zip � `—�� `aT `--' '�'t' �� <br />�� <br />Owner (Mortgagor) ��`" �" ` <br />. �.4:. �1 L_�.i� <br />Billing Name �-__. E--.- �-; �,: , ��,"`. <br />Connection By ��!(:_�� �, ri+ �.� r;i.r. �.l i:•_ :.- <br />Phorie :'_:%'�` �- '- (`'� <br />DESCRIPTION: <br />Lot � � •� I % Block ! " <br />I'lat �� ., l_ r �,. l i`. �� , i��l _ � ', 'T <br />Unplatted Description <br />Type Permit: ��_ C,. D O ( <br />Remarks: <br />9 <br />� 'v�i� i i�v. <br />Utility Account No. <br />Permit Fee <br />Connection Charge( <br />Total Fee <br />�. � '.. �.i <br />�i � <br />. , ��1 <br />Si,;i�„i- — <br />—c u.w ,.er � <br />S�r::ur District <br />Monthly Sewer Service <br />_ Morthly Sewer Constr. <br />— Trunk <br />Lateral <br />Abutting Lot Line <br />� fJ, S, E, VJ_ <br />Hpproved By % %����,- .;.�/�/��C� <br />Crty En9mccr � <br />(_. � ! .': ! �/J//.�Jev/ <br />Issccd f3y .-- --- - <br />-� <br />� Insprction Cy -- --- <br />Date Inspect <br />SEE SKETCH ATTACHED No. 22167 <br />�-- , � � ItdSP[CTION � <br />� � .._.. . w`�i�', W�` ) 4., ��."S _ ll.���_,. r � _-:�i_`„ x.-.nf �. ? ',:.�-.... w <br />: <br />