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� <br />� <br /> �+ q - J <br /> f CHART N0. I'� . � �'1— V� <br /> � everett ' <br />; f /�os T�� �..� <br /> � e �: c_. <br /> City of Everett ` ' ^' <br /> Engineering & Community Services . <br /> Sewer Application and Permit � ' <br /> N0. I 1 �� J DATE ��^� —��77 <br /> Service Address �� �v� *- � ��---%" `/ Utility Account No. <br /> Biiling Address Permit Fee �% r'✓ • <br /> City, State, Zip Connection Charge(s) ' <br /> pwner (Mortgagor) � •-��•' � � ✓ '� - Total Fee �� <br /> Billing IJeme <br /> Cannection By <br /> �; ` <br /> Address Signed._( �-+'+ � –�'�` '�_: -• – �/ <br />� cu:tomer <br /> Phone <br /> DESCRIPTION: Sewcr District <br /> Lot -'k '' "'� �� Block '��' I <br /> Monthly Sewer Service <br /> Plat_ �'.::- f :�c_<l�.,•r' �i:� � <br /> Unplattcd Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ' <br /> Lateral <br /> Remarks: ���/ �j, , <br /> , / Abutting Lot Line <br /> /O N, S, E, W ft. <br /> 3 S8 ' i+/ . <br /> , �- <br /> _ <br /> .�= -; • <br /> Approved By�V' . /� ...., .._.r ,. : <br /> ` CityEnginccr P,: <br /> i <br /> Issued By.'`. _-�=�' =, <br /> �y� / � <br /> Inspection By l.. -�wI '�'�""0''�–¢'-���–� <br /> Date Inspected ��� <br /> 0 <br /> SEESKETCH ATTACHED N0. <br /> lilSF[Ci <br />