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- , l <br />everett � ;, <br />:; <br />e : 1. . <br />K <br />x � C's <br />City of Everett <br />Engineering & Community Services <br />Sewer Applicatian ana� Permit <br />// ,� `� -'`� <br />N0. ;7 ;i ��' Q ��_ DATE � � ° <br />Service Address '`'� '� � � �T F ' ' ' `� <br />Billing <br />City, State, Zi <br />CHART NO.�'—= -' �- �—` <br />P.�sT�/� <br />J/-Z9-.7 4� <br />�g d a. /C. . <br />Utility Account No. <br />Permit <br />Connr.ction Charge( <br />Owner (Mortgzgor) Tota` <br />�.._V <br />. �. ,. , . _.i � <br />� gilling P�ame <br />r • i Q <br />i � I. <br />Connection By ��'' ��'` ` � -' <br />AlifIfP55 " $19i10d � / Customer <br />Phone <br />DESCRIPTION: <br />' Lot a <br />Plat <br />Unplatted Descr <br />Type Permit: �7'' <br />Block__ <br />Remarks: ✓l+yv.�u'-�;�� <br />. /� _� ar.� �i � l'1�C� <br />r , . .���_ <br />J <br />�,,. , . . , < < '�,.. .. � , / : <br />. r .i ��i� iY' F� ///, N. <br />� <br />. � <br />'`k{�. . a�,�,. <br />y ,� Y?� r, , : <br />IF, ^.::� ` �.� �. �'. � tA`.�... <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />� Lateral _ <br />Abutting Lot Line � <br />N S E W it � <br />; <br />I <br />( <br />� �� <br />Approved By` <br />:1 . � <br />City Enginecr <br />Iss�ed By �.' " � , '`i <br />IrspectionBy='��/�'��'�`f•r � <br />D.ite Insper.ted //_,'_-/_-%� — <br />N0. "�''� ll <br />