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CHART N0. " � 8' Z`�—S <br /> everett ;' <br /> �o � %�-T � <br /> e - _� � � <br /> � � <br /> City of Everett � _ � <br /> Engineering & Community Services / �.v�L, <br /> Sewer Application and Permit <br /> NO. Z 2 3 l� ;S DATE ��/ ` � <br /> J' % / <br /> Service Address ^7 ''--•� " • f Utility Account No. <br /> Billing Address Permit Fee �'�,-^ �-t <br /> City, State, Zip Connection Charge(s) "--- <br /> Owner (Mortgagor) Total Fee '�7�-' � :-c� <br /> Billing Name <br /> � � ;�� <br /> Connection By �-i� � ` E�-/:- - --� <br /> / �,�� / , �. <br /> Address— %', Signed l�C.�'�� �' �t,--�-,z.�-�_%:. , <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> ' Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description_ _Monthly Sewer Constr. <br /> Type Permit: ��, ry�, ;_ <br /> Trunk <br /> : i <br /> Laterel <br /> R�marks: ,te.- ' �S . �"�/,�.�. <br /> - F�butiing Lot Line <br /> N, S, E, W _ft. <br /> � ' <br /> Approved�By,�Y- i`�`" �' ' -- <br /> Ciry Engineer <br /> =". /" •, <br /> _ > >' <br /> Issued By �'n • �^`"� <br /> � <br /> . /J % , <br /> Inspection By l�..��t�f, ��-r.-Nl� _ <br /> 0 <br /> Date Inspected :( — / �i � 7 � <br /> SEESKETCH ATTACHED N0. <br /> Ii�SP�=C1lON <br /> � <br />