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' I <br /> � � <br /> ( CHART NO.� � Z `s " S <br /> evec,ett � <br /> � ��o � 7� Lr � <br /> e �_ ,, _ � � : <br /> � City of Everett <br /> Engineering & Community Services �� <br /> Sewer App�ication and Permit <br /> N0. �' ;� � �_ 7 DATE _�I�= �': <br /> Service Address ����� �/�/L Utility Account No. <br /> � ,L , -- <br /> BillingAddress�n� �='1� �'l%���- PermitFee ' JC'' <br /> City, State, Zip_����-'�7T � %�'��' G� Connection Charge�s) <br /> � ,J � -L.<�c� <br /> Owner (Mortgagor) k ��T f �'c.�lL�,C.� Total Fee <br /> Billing Name ���j ���� : <br /> l �� <br /> � Connectian By_ =`���`r��- <br /> Address Signed �-'r��`f�'��.%'l( ���2U�� � <br /> Cuslomer �. <br /> Phone �/��Z _ ��G,=� <br /> DESC IPTION: .s;� SewerDistrict <br /> Lot�� f=�`` l���Bloc/k �G%�-� <br /> Plat�""�--E=��y7�` L i�.�ii-� CD= �%� Monthly Sewer Service <br /> Unplatted Description _Monthly Sewer Constc <br /> Type Permit: /�,�J��J/��C. Trunk , <br /> Lateral <br /> � Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> f' L. �/c��.��...,�, �, <br /> Approved By <br /> Ciry Engineer � , <br /> — tssued By L . ��LC /J /J,�i�v <br /> i <br /> i Inspec[ion BY ��� .-( r-�t.c_> <br /> i �-/ <br /> ifl Datelnspec..ed '�� D/ : <br /> � SEE SKETCH ATTACHED N0. �' <br /> j IiJ�;��'��t`! lui � <br /> � b' � <br />