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CHART NO.Ie�/��� <br /> everett <br /> e ��. � <br /> �.� ��� <br /> City of Everett !S � q �, ? � <br /> Engineering & Community Services � <br /> Sewer Application and Permit /���� <br /> < < � , r_-� , <br /> N0. � :� .�_ �� ;� DATE �' � � �- .. <br /> Service Address - Utility Account No. <br /> Billing Address � `'� '- - Permit Fee � <br /> City, State, Zip � ' � • ' _ Connection Chargels) _ <br /> ' - <br /> � `_ ,' <br /> Owner (Mortgagor) �- ` � ` -- � � Total Fee �" <br /> Billing Name '-- ' - `--' ' � <br /> Connection By � � � , ' ^, � �_`-�,_ , ,--� r�; � j �. � <br /> , ,� � � J � <br /> Address ' ti , - � l � � . I ?:c . :� L Si ned ��. 1 � ' ` . <br /> 9 <br /> , Customer, <br /> Phone ' '" , <br /> DESCRIPTION: Sewer District_ <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description ___ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: I<-- L ; <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> N, S, E, N1 ft. <br /> il. <br /> Approved By '� _ <br /> City Engineer <br /> � // ,� <br /> Issued By l- , c i ! ; , , .1 :_� <br /> I <br /> Inspectior By �``� C" `"� ' �' `-`� <br /> Datu I nspected_ �^/�'�� � _ <br /> 0 <br /> SEE SKETCH ATTACHED N0. <br />