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CHART NO��-�`'- '-� .� _ <br /> ; everen /�os 7r-Gr .I� <br /> � � /ca �- 3Q --� � <br /> City of Everett �,! <br /> , Engineering & Community Services I 9�� . <br /> ; �ewer Applicatian arvd Pe�mit ' <br /> , I <br /> _ � �1 DATE --_'�/ I % ��— � <br /> NQ. :` � �_ I , -- — <br /> , Service Address - �-� �' �� � ' ' '`� ' Utility Account No. � <br /> � r C C_ <br /> I Billing Address � �<< C-� L'/�`� Permit Fee '-'U <br /> City, State, Zip E--� �.-� L� ��J�J ����'-�' Connection Chargels)_ "�- <br /> Owner (Mortgagor) ��'( ur�•�.l> /t'���C,��� To�,,lFec------ --- - .- - <br /> i Billing Name � ,' � �.•�'� �-"' � i �'/�� [ �e'[-.:. <br /> Cannection BY �{�'�!''r.)��� � �/� C_.i�'�. <br /> � ���/l �--(' C. I�y Signed��'��..��-.-�` � � <br /> � Address a�s��,����`— - - -- <br /> ! Phone -'i- C� [• C� "L ��� �� %- 7/ G�I <br /> DESCRIPTION: Sewer District � �' - -: -__ _—_-_- -- <br /> Lot ' { - t t Block � ` =� <br /> Ly.� F� � �,_� MonthlySewerServicc_ ___ _ - —. <br /> Plat .__; . .,: i : : , , L.n._..-. C.. -. �- ..�:--- : �.,..: <br /> ,_:_. � . <br /> Unplatted Description Monthly Sewer Consu. <br /> Trunk_ -- ------ -- <br /> ! TYP� Permit: ���a1 L..ou >>>�L.•;� � ,._, <br /> Later�l _ <br /> Rernarks: <br /> Abutting Lot Linu <br /> N• S� E� ��� - -- - - --it. <br /> Approved Ey <br /> GtV Engmccr <br /> i <br /> Issued By L.. L_i , � ,. � � _ -- - <br /> L������ <br /> Inspection By <br /> Datelnspected�-T� �� - <br /> a <br /> SEE SKETCH ATTACHED NO. ' ^ <br /> INSPL�:TION � <br /> :. . ,, � � ,�-,. _ . _: •� <br />