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CHART NO.�,� � � <br /> evereii � <br /> � � ,, � <br /> 0.� �'✓ � <br /> � `> /�% ' <br /> City of Everett ,/�/�C � <br /> I <br /> Engineering & Community Servicas � <br /> Se�nrer Application and Permi� � <br /> N0. �� J � E DATE �� I i � 1 ��_: � <br /> i <br /> Service Address�` �- � �' ���=�•���L�C� I �����-'- Utility Account No. �- � 'V� � � '�- �- � I <br /> 9 �_' `� � � C, - � <br /> Billin Address � L- ,����� L� --Y �" � � Permi? Fee �L' % <br /> r,c� <br /> City, State, Zip� "(�. L - T�--','�--�- " `-~' `- �-r 'Connection ^hargels) �-1�i . - I�c� `-f u �i•c <br /> i ) �i �„ v i�c. <br /> Owner (Mortgagor)� = � E� �-""'` ' °` `-"' � l otal Fee � �� _ <br /> i <br /> Billing Name -- ��""i:. <br /> : i�1.n:,C... r� � ': <br /> Connection By ' � <br /> l -�.� ` <br /> Address � ` �-�,\c, i -L'_ ._ � � � Signe�l_"±'�t;,�'%:7/ r � ��_. <br /> Cusromer <br /> Phone '_<t — ic � �r <__._ , <br /> _-7 k'.;E..c�r= ..L.1 <br /> DESCFIPTION: SewerDistrict - _ <br /> Lot � -- Block `- --- A/l�iZ:7LL:r � <br /> Plat�' �-' �- � - __ �c_1: �_; _ ._ Monthly Sewer Service ! <br /> Unplatted Description __.__ _. Monthly Setver Constr. <br /> ` . --- Trunk <br /> f . � ,_�_ <br /> Type Pei mit: �:{�i�_: l_.C= �;ti��.i: ,+ c ;_.� <br /> _ ; <br /> Lateral_ _ _ <br /> Remarks: <br /> ---- Abutting Lot Line <br /> --- N, S, E, W_ _. -- ft. <br /> -- — � <br /> PProved B � i �` �.:,r�.+ I r•'�( <br /> A y'-. <br /> Ciry Engineer <br /> i <br /> Is,uedByL �:��--[�/:];:;?-�-�yt! - <br /> ���� ��-- <br /> Inspection By//V /�L '��s�l�.--� ' <br /> � <br /> Date Inspected_ .7 //v% 7� <br /> � <br /> SEE �KC�I CI' �-•.TT:'�.CH�D . � <br />