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� <br /> CHAP,T N0. '�� ' — <br /> everett �z '/�' <br /> � � I " <br /> �I <br /> City of Everett <br /> 5ewer Application and Permifi ' <br /> �/ I <br /> N0. Z�86rJ DATE ����! � Z <br /> � 0 <br /> e a��� r //r •� � <br /> �t-�i Utility Account No. D� �., <br /> I Service Address m <br /> Permit Fee �0 i <br /> Billing Address <br /> Connection Chargels) � " <br /> City, State, Zip /a j I N = <br /> ��� i �,�,(� Total Fee � i "' <br /> Owner (Mortgagor) � � o <br /> m o <br /> I � <br /> Billing Name o m <br /> Connectior BY I' � <br /> m <br /> .-. <br /> .o z <br /> Signed Cusmmer I � _ <br /> Address <br /> Phone � �S^ L/'/y S� �I � v, <br /> � <br /> i T <br /> Sewer District I � y <br /> DESCRIPTION: <br /> Lot 81ock Monthly Sewer Service — I m r, <br /> � <br /> Plat I <br /> Monthly Sewer Constr. o r- <br /> Unplatted Description c vmi <br /> N <br /> Trunk - I <br /> Type Permit: � I � m <br /> Lateral I a <br /> I � <br /> � � � <br /> Remarks: Abuiting Lot Line = <br /> D <br /> I N S E W ft. z <br /> � <br /> n <br /> �e "P ' � <br /> �0� i o r� /J Z <br /> 0 <br /> /�'S �/ � �/ // -i <br /> D Q( / CLCy � <br /> Approved B�✓L " <br /> ' � Ciry Eng�neer , m <br /> / �OtjS�' � <br /> 0� �(/� � � � II <br /> , r) .F�� ,N �55�ed Bv� <br /> ��K 5' c z <br /> �/�� K'/ <br /> O• <br /> pv B'� � <br /> i � Inspection By <br /> / C Date Inspected — , <br /> � � ,y No. 2�sr,5 I <br /> SEE SKETCH ATTACHED i <br /> IN;;PLCTION <br /> � <br />