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� CHART NO. ������� <br /> � everetl /�O.STEQ � <br /> � e <br /> City of Everett � <br /> Engineering !� Community Services <br /> Sewer Application and Permit , <br /> � , <br /> NO. �i ;,1 ,) � DATE I � cI �-11 <br /> Service Address ''- '�'-�L �-� �' �U� Utility Account No. <br /> Billing Address �»�"�� Permit Fee ��C::�-� � <br /> City, State, Zip��L- 't- t=�'S Connection Charge(s) <br /> Owner (Mortgagor) �'"� • � '`����-��-��^-' Totai Fee �,�- ��� <br /> Billing Name ��������- <br /> Connection ByL-' �`*' � �'' �--"k�' i=-�1' <br /> Address Signed `—���-����t � �--`L-�4 ��'�=-C��L1 <br /> Cus omer <br /> i <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> UnplattedDescription � � �-���L <_C-- ��+ ' `� MonthlySewerConstr. <br /> T e Permit: � � Trunk <br /> YP c_ c- t'!�l 1`. <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> -..w+J � � C N, S, E, W ft. <br /> ,�— �2 � aJ. .�- 1 . '.<. � <br /> � � - ( C_iti� f rc_/C <br /> � Approved By - � <br /> � Ciry Eneineer <br /> � IssuedBy � , �(\L-�- 1�/ I���./ <br /> � <br /> � <br /> I <br /> j ' Inspection By�i� "`=""�+-a� <br /> I <br /> i Date Inspected � -/ 7 - Y 7 <br /> e � <br /> � �_�,��'/�,�a SEE SKETCH ATTACHED N0. <br /> � I N S P�CT I0I��1 <br /> i � � � <br />