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..: <br />everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />N0. `�� �51.� DATE �'' LZ�"1? <br />Service Address %� 'r � �� � Lr {-� � n i✓%> <br />r_-- <br />Billing Address ���"� � <br />City, State, 2ip G� « �`k= ��< <=�T <br />Owner (Mortgagor) �v�k ':- �� J �-�=��� =� <br />Billing Name �`-=��"� E- <br />Connection By G ' T "" �� ��� �--� }- <br />Address <br />DESCRIPTION: <br />Lot , B/fock ' —> =�`_-� <br />P�Bt ��� �Lt `�,�1 �r-1\4�J'�l � .> �C+T <br />Urplatted Description <br />Utility Account No. <br />Permit Fee ��J f"l A,t <br />Connection Charge�s) <br />Total Fee �`--�U �'-��- <br />Signed C..�_ C.(C.... �->>�?C."�,�./�� � <br />cu:,om<.r <br />o� <br />SEE SKETCH ATTACHED <br />W SPECTION <br />Sewer <br />Monthly Sewer Service <br />Manthly Sewer Constr. <br />Abutti�g Lot Line <br />N, S, E, W <br />Approved By_ � . f��.�.),()1�C/�j <br />Ciry Engineer rt <br />I ssued By � , �"-`^_1-G" ( !� /%�'!J <br />i <br />A � � � <br />Inspection By l�: �.c-�' LiJ.*c.e4.n-� <br />Datelnspected � - �J 3 - 7 ,? <br />� � r� <br />N0. i� - � <br />