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. _ �_._�_._. _ . . , <br /> CHART N0._ <br /> everctt - <br /> y <br /> � � r� <br /> '-�.�� <br /> �� _�_� <br /> City of Everett � ,�� � � <br /> Engineering & C�mmunity Services �� . <br /> Sewer �pplication an�! Pern�it ' `� <br /> NO. DATE _� — <br /> Scrvice Address % � � Utility Account Na. — <br /> Billirg Address ' � � Permit Fee � <br /> r J.- <br /> City, State, Zip '�� �> � ' � Connection Charge(s) '� � , <br /> . .• <br /> Owner (Mortgagor) �" �' Total Fee - <br /> �illinq Name - <br /> Connection By <br /> Address Signed � � � <br /> " Customr.r <br /> Phone_ � ��� � <br /> UcSCRIPTION: Sewer District � � <br /> Lot_ �� Block �� ',� <br /> �13i . •� Monthly Sewer Service _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � � `�� � ' � <br /> �YPe Permit: . <br /> Lateral � =` • J <br /> Remarks: <br /> -- � Abuttiny Lot Line <br /> iC, :;, E, �v_ . . _ _ft. <br /> _ — <br /> Approvecl E3y � � - _ . . __- <br /> CtlV Englnrrr <br /> Issued By — ` rl <br /> �� �g.�j �/� <br /> • Inspection By��//. ' � -�-o'L;'. _ <br /> _ � <br /> _ Date Inspected_� ap� ��__�_ <br /> —T --- <br /> SEE SKETCH ATTACHED � N0. <br /> i i,�orr r�n•. <br /> � -'���, ., . .,�• , . ^/l; . . . _ . . <br />