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everett <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewe� Application and Permit <br />NO. '' �? �'� ,',' `� DATE 1J �I �' �-. <br />_ . . _ J <br />CHART N0. �, f" ��� <br />: � ��� <br />i ````� � 7 /�' <br />%. ��1 <br />Service Address�� �' '�'� /�'`' ( Utility Account No. <br />BillingAddress `�� �� X 5�"`'Y <br />CitY, State, Zip .. �_L i',� ��', j'i <br />T <br />Owner (Mortgagor) f. ' �. (' -"' ' �� <br />Billing fdame `-� — <br />Connection <br />Address <br />Phone <br />:J�-II33 <br />DESCRIPTION: <br />Lot —3 Block <br />J- o'/- ";7-oU <br />� <br />Permit Fee J�� <br />� •�yo' <br />Connection Chargels) �,6 <br />J� <br />Total Fee -� `� � — <br />! <br />5igned <br />S� <br />M nthl Sewer Service ^''' v <br />; � �; � ,; , j.c; o Y <br />Plat '' <br />Unolatted Description -� ����� 5'< ��`� , �'� ''� Monthly Sewer Constr. <br />u <br />SEE SKETCH ATTACHED <br />' �i i_•r,r(�l ll`�i,i <br />-"��+��� <br />i:� _,, �.�� , �.:��."'-�'i'tt. ..��_ 1Ys�''. <br />�, � Trunk_ <br />.! <br />7° Lateral <br />�hutting Lot Line <br />N,S,E,W. <br />��V <br />..' • / U <br />_% : / ' <br />�pproved Bq,_ � <br />Ciry Enginecr � <br />ssued <br />� � , <br />nspection By/ '� �^ <br />` - Z C� �- 7� <br />)atelnspected <br />NO. .� �: � � � <br />