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CHART N0._� <br /> everett <br /> � �' •• <br /> City of Everett � <br /> Engineering & Community Services , <br /> Sewer Ap�lication and Permit � . <br /> NO. `Z 7 O G O DATE ��0 �:�r�7� <br /> 0 <br /> Service Address -� �� '� ��j� f�°�� Utility Account No. . <br /> � <br /> 5� <br /> Billing Address ^�� `� � - ��7 Permit Fee -.� , <br /> c r <br /> '' !l, /;r�. / <br /> City, State, Zip�;;;, r �� •'��- - 'L^ ��y ConnectionCharge(s) G — <br /> �� �� <br /> Owner (Mortgagor) _ Total Fee --: <br /> ; Billing Name � <br /> Connection By , • ,���'� � <br /> ,r-� ,� �/�, <br /> Address _ Signed <br /> cu:tomer <br /> i Phone . r' S �- S�%� . <br /> DESCRIPTION: Sewer District <br /> Lot Block �ylonthly Sewer Service <br /> Plat <br /> I Unplatted Description �r r�• �� � �'-/--- �� Monthly Sewer Constr. <br /> -. .� <br /> 'i:.- � ., � _,��` D 6 - Trunk . <br /> Type Permit: '-' , " � - " - <br /> , �. <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W n• <br /> i <br /> , ��: i � <br /> — Approved By : . ,��. .. •, �-- . <br /> City Enqineer <br /> ,'� ;/ �,. <br /> �'� <br /> IssuedBy �^ ' -=^^=-� <br /> Inspection By <br /> ' Date Inspected <br /> P <br /> SEE SKETCH ATTACHED NO. �.�L � � <br /> �------- ---�------ <br /> ---___ - --i <br /> INSPECTION ,- ______.--- -- . ..__� . _ _... <br />