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... _ . .. . .. '" � . <br /> � CHART NO ~` <br /> j everett <br /> `� �'. (-�c) ��eC� <br /> City of Everett <br /> I Engineering & Community Services -� R <br /> I <br /> ; Sewer Application and Permit � 3 � � � <br /> , <br /> � � , <br /> ` r; � r r DATE <br /> � N0. � _L '. 'J f3 <br /> � Service Address ` a /}'�„�i� ��ti. Utility Account No. % `� 'f � %'i 3 - ,-�.o <br /> Billing Address <br /> 75 1 v /i�a i Ni.-. . : f�.:. Permit Fee �7J .' `� <br /> � City, State, Zip � vf^��<` %�� U�.fsi: %{ ;•,�� Connection Charge(s�->->�� . "� <br /> Owner (Mortgagor) ly='i�u�� Sr-i:,�u� �=� Total Fee �3 � '-� <br /> �k <br /> Billing Name 5��://�� <br /> 4 Connec;ion8y �� •' �"� r-- ':-���� . ; � <br /> � ����`.. <br /> ' Address �� `%r>J i=� ;l � Signe _ ! l/ �� "��� <br /> � _ � Customer <br /> Phone ? > y - ��' y � F <br /> � Sewer District �� " '� <br /> DESCFiIPTION: <br /> � t..� i_Jf � Block � <br /> L�r %z ,a. >r <br /> � '<<! It -N�` T�'. MonthlySewerService <br /> Plat �'- <br /> � Unplatted Description Monthly Sewer Con,tr. <br /> ITrunk L/'�; <br /> Type Permit: <br /> � �./ Lateral L j I <br /> �..�.�;. ./ ,.' ;�,j�/,'c' /i:•" i!/ � <br /> � Remarks: <br /> Abutiing Lot Line <br /> N, S, E, W ft. <br /> t <br /> � ,, <br /> i � , <br /> i Approved By �-�';.,.-, ..-�^—'� <br /> '� Ciry Enginecr � <br /> � J' ♦l . <br /> Issued By (�' i�✓ .L � <br /> I <br /> i <br /> iInspection B;r ,�T���zc-a-- <br /> � Datelnspected ��/��� <br /> ' ° �� �; <br /> i SEE SKETCH ATTACHED N0. , " ' <br /> 1�9SP�CTIOIV <br /> � r. - , ', <br /> ' _ . _.. ...._ _ - '- - . . � r. , . ., .. ._.. _._ . , _ _ _ _.:,-ri��_.._ . <br />