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,;. <br /> ; CHART . � <br /> 'i everett , ..z <br /> i I ��"'-�i� <br /> � e /� �- � . <br /> � City of Everett �v � � <br /> IEngineering & Community Services 3 � Z3"'�� <br /> t Sewer Appli�ation and Permit �,,� /�'', <br /> � <br /> , <br /> ; N0. � �'' � .! ^: DATE �-�G7 ��E" �, — <br /> � ', <br /> t Service Address ("� h � � �)+���� `� ` -- Utility Account Na <br /> Billinc� Address Permit Fee ���-"�-�� <br /> City,State, Zip �_-�'�---����r � U�� ���zu% Connection Chargels) <br /> Qwner pvlortgagor) �t��. `-�'G1-� L_C�i��!. Total Fee ��� �' �-`�- <br /> Billin�� Name C-'�� �'G � tk=�'�-�>E-'�- <br /> ConnectionBy �-'t��� L-� �v��-��'7' <br /> I [> <br /> I Address _ Signed �-�—L��-- �J•JFCJr.S��<< �� <br /> � _ Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�•�''��r � Block � <br /> —�i Monthly Sewer Service <br /> Plat 1 _.��..:�.. �.� { ��,r..;�_ 1 K . <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: f�.l�y�, e.��>� �-�,_ :-�� -i�- Tr., . <br /> t _ Lateral _ <br /> � Remarks: <br /> �/ Abutting Lot Line <br /> N, S, E, W ft. <br /> ? G ` •r,� S � G✓, ht•h� <br /> � f/f f'^-�(0�--�� , n APProved By L F�t__.rul.t� i..s�� <br /> �f ��(�) —�� �r /fy�� City Engineer <br /> � <br /> � y , ,. <br /> E ^ � � Issued By � ' L—c�� � � :� ��ai�1 <br /> � <br /> � <br /> ' <br /> IInspection By `�`-`�-/ �3"�-4-�� <br /> i <br /> � <br /> � 3 - 1 - 7 �l <br /> i Datelnspected — <br /> 0 <br /> � SEE SKETCH ATTACHED NO. <br /> � <br /> i <br /> � IDJ51'I:=C1lOf�1 <br /> � . �1��,ii , rac <br />