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everett CHART N0. � �!� � 7- -5 <br /> �J" ,3 i.%G—' /.� _ <br /> � � <br /> City of Everett <br /> Engineering & Community Services <br /> Sewer Ap�li�atior� and Perr�it <br /> � -� , . -,-� � ,�� � <br /> NO. 1 . ; '�I u DATE � � - � L':,.,�1 <br /> � Service Address �� L / '-� � i�'.�^� �) Utility Account No. w <br /> ` � � <br /> i BillingAddress � ! ��i � ��-�"� T ��/ permit Fee ��U � � /Cr+� �• �:As�,.,� . <br /> j City, State, 2ip �yY ��ir/����,•� v W�js N, �1.�lJ �� Connection Chargels) <br /> � <br /> � Owner (Mortgagor►��`�r�1. `� _(OJ}.'✓N �� L:: v%� Totr�l rce " <br /> i - ---- ---- -- <br /> i <br /> � Eiilling Name 5 i�r�l� <br /> j Connection By r. � C'/-� � 1;ri/ �',%;� ;:„.` <br /> i <br /> � Address— l � 5 Z � �/ s� l/✓ F/✓' �,��v Siyned <br /> � ��-�� '= Cus�omer <br /> j Fhone _ 7`��— /(��`! <br /> I <br /> DESCRIPTION: SewerDistrict /��' �C''� F=,.r i� <br /> `I Lot � 7'"2 �� Block `� F�3 <br /> Plat �' �` ��u��Z�-_- � Monthly Sewer Service � <br /> iUnplatted Description Monthly Sewer Constr. <br /> i T e Permit _ ,'� � Trunk , _ <br /> Yp _ �i�;H �� , <br /> I <br /> Lateral <br /> � Remarks: <br /> i <br /> Abuttina Lot Line <br /> I N� S� E• W--- ---- — `t. <br /> i <br /> � <br /> i <br /> j _, , � <br /> i Approv..d By_ v' ,. . , , . _� <br /> � cnv e�,��;,,,, � - <br /> ;� �'i • . . <br /> r Issued By ` /✓ -��'-'1�-,r <br /> i — <br /> � <br /> , - <br /> ' Inspection By - z�c �.-.- _ --- <br /> i — <br /> ; — _ Date Inspected L� <br /> � '-� �� <br /> � SEE SKEFC',i ATTACHED \ NO. <br /> _�!�!;f�t r;11Cr. <br /> r .., , <br /> c. , :, .,,�. .�; , �: k <br /> - - - . _ . _ � _ i_ . �w� <br />