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CHART N0.r.3U -3-`t -S <br /> everett. <br /> � <br /> PoS-r�p �-5-c�C� <br /> City of Everett <br /> Sewer Q►pplication anc� Permit � <br /> N0. 2�6�G DATE —� % �'f '•,�O <br /> � <br /> ,. �� <br /> Service Address��.Y^�-�^K' Utility Account No. ✓ <br /> � � <br /> Billing Address /'�-�J u—� Permit Fee /(� <br /> Ciry, State, Zip C,�w'���'�� ���� Connection Chargels) _ <br /> ��?�c-. �.� � <br /> Owner (Mortgagor)�'��" --s-�=-"'�—` _ _ Total Fee_ ' " <br /> Billing Name '�� +�<<� <br /> � J � f <br /> Connection By �t�'r /�1 ��� %�-�z' _ <br /> Address % :�' _� �/ � � �(J ,.� Signed ' _ <br /> � ' Customer� <br /> �� � . /, :I� � <br /> Phone �5 � ' <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service_ <br /> F'lat <br /> Unplatted Description Monthly Sewer Constr. <br /> �. Trunk — <br /> Type Permit: ,..� � �� :i <br /> �- Lateral <br /> Remarks: <br /> Abutting Lot Line __-- <br /> N, S, E, W _ft. <br /> — — i <br /> / � i <br /> — APProved BY -'%'� - /��,�-,"t ;:- <br /> —� Ciry Engincer <br /> _ �� � �� �� <br /> Issued By ,i'✓ `. � v-� <br /> I <br /> __ Inspection By � �%� ` � — I <br /> � l <br /> Date Inspected y/ � y�U � <br /> SEE SKETCH ATTACHED N0. Z367U <br /> li."_-I C�_�,'IGf1 � <br />