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� CHART N0. <br /> everett <br /> �O S�e Q . <br /> e <br /> ` City of Everett �l� 1 ` <br /> IEngineering & Community Services ' <br /> ( 4 - 5 - �� <br /> Sewer Applicat�on and Permit <br /> ` NO• F � C 7 ;? DATE Ll.='.F�77 <br /> Service Address_— l ���7 ':'�< <,_ :'.� Utility Account No. <br /> Billin Address— ��U� I� 7� _.�'� _�-/_� �' "� <br /> 9 6 • Permit Fee 1U <br /> ,,. <br /> City, State, Zip G ... . ,-. '� ..ii.r� %�.:'D 3 Connection Charge�s) ------�`— <br /> . . <br /> �., <br /> Owner (Mortgagor) � r' � � �-� A. ✓ Total Fee_ �U c,i <br /> Billing Name_ �. '- -_. .� <br /> Connection By_ - �•� _,:['_ � ,�_7 � -: <br /> Address �v��ri' ,.c ��../ /�~< ;r <br /> Signed— //.i /�% : _..c;-� `./ <br /> Custo r <br /> Phone �� '� �- �✓JS�� � <br /> DESCRIPTION: Sewer District • <br /> Lot � Block �' �U -= ;• <br /> Plat_ � C �T Monthly Sewer Service_ --'�-��;- l -. �/ <br /> Unplatted Description Monthly Sewer Constr, <br /> t Trunk <br /> Type Permit: ;'/; �.� - � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S. E, W ft. <br /> I APProved By ."'. -,i, � <br /> � _ ' Gry Enginrer J <br /> '(, � ; <br /> ISSUe(J By !'• <br /> { <br /> 1 <br /> 1 <br /> i Inspection By � � -� <br /> � Date I nspected r / � <br /> 0 <br /> SEE SKETCH ATTACHED Np, <br /> .� ,..;-�CC�It����J . . <br /> � <br /> � ... . .� � � .. .. . . "11L�@�i <br />