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everefl <br />� � <br />City of Everett <br />Engineering 8 Community Services <br />Sewer App�icatioro and Permit <br />NO. �� �t�9 DATE �� //�%'/ <br />CHART NO.� ��? ' �� ` S� _ <br />, <br />�i .. '`��� ri �,� .. <br />Service Address f % � J ��/':" ��� `� "/� �"f . Utility Account No. — ' � �� �� `'` <br />r J <br />Billing Address ��/ -' �"�'i '� � �' � � ✓� Permit Fee � ;� <br />City, State, Zip f� r �� f"� :�'t -�' ��=-./ Connection Charge(s) � i V <br />;! .� .1 , / ._! !j � :') �!!� d. 1_jTotal Fee ; , ': •; <br />Owner �Mortgagor) � `- <br />BillingNameil 1 '1:'1-=/ii' /�'l�';.� . ' o'c��/1 <br />Connection <br />DESCRIPTION: <br />Lot � Block <br />Plat L�� T.. i` � �� ,. ,.�� <br />Unpiatted Description <br />Type Permit: ,yFl.� �;•� ,' j � <br />Remarks: <br />SEE SKETCFI AT'fACHED <br />Signed �7��r/r/ �.i-ra�� <br />Customer <br />P�C..i.���. <br />Sewer District <br />Monthly Sewer Service " �-� <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Liiie <br />N, S, E, W_ <br />" %i. <br />Approved By -_ : - <br />Ciry Engince� <br />i <br />Issued By=" <br />/ ,1 <br />. • y .���. . <br />.. • .• •. <br />�� <br />• <br />• , � ,' <br />��.- �, � �O� �• <br />