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everett CHART N0.��$!�_ <br /> /�o5i�o 2 � i <br /> e <br /> �� City of Everett „ �_ � <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. � [ `�J � DATE �" " ' �- 7� <br /> � Service Address i� � ,> .2�t?i%!%f•t.�-, 'i Utility Account No. �� -' - ' � ' ' `� <br /> Biliing Address�3 ^' ! <.� - =� � Permit Fee— _%�� J <br /> � <br /> City, State, Zip - `; ::-/�_ . ;': = i � Connection Charge(s) , /�J <br /> Owner (Mortgagor) /- . -%: • -f ..-_�- � Total Fee �_-- <br /> � Billing Name � . <br /> I <br /> Connection By --� ; <br /> Address Signed - ' _ ' � �. <br /> Customer <br /> 7 r v - <br /> PIlOf1C—. ✓ 'J -3 - l r' � -` � . . <br /> DESCRIPTION: Sewer District � ..�L <br /> Lot / - �� Block / <br /> Plat ' ;` Monthly Sewer Service_-'• '`U <br /> Unplatied Description Monthly Sewer Constr. <br /> Type Permit: Trunk � � � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> f <br /> � <br /> � APGroved By , -- ,�' � <br /> I _ •City Engineer r� <br /> lssued By _ ( <br /> Inspection By �l�/��'��-.---. <br /> � Date Inspected J�laY�77 <br /> 0 <br /> � S�_E-SKETC ATTACHED � NO. ' ' �, <br /> i '.'3h: �. ` �, �NSPCCIIOfI t� �'il�.. . .._ �I _ . 3. <br /> � �Z . L, <br /> , <br />